Kevin O Lawrence, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A84093 Issued in CA

Practice address

10841 White Oak Ave
Suite 201
Rancho Cucamonga, CA 91730-3811

Phone

(909) 581-6400

Fax

(909) 581-7275

NPI assigned

Dec 22, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Howard University College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: klawrence90201@direct.llu.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kevin O. Lawrence MD Inc

  • Physical Medicine & Rehabilitation Physician
  • Rancho Cucamonga, CA
  • NPI 1659545630
  Medicare reassignment Authorized official
• The Huntington Medical Foundation

  dba Huntington Health Physicians

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1154467181

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1215913058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 HAVEN AVE",
            "address_2": "SUITE E298",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917016064",
            "telephone_number": "909-581-6400",
            "fax_number": "909-581-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10841 WHITE OAK AVE",
            "address_2": "SUITE 201",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303811",
            "telephone_number": "909-581-6400",
            "fax_number": "909-581-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "KEVIN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A84093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arturo Latios, PTA
• Lawc Dermatology
• Laurel Lawler, LCSW
• Lawrence William Lawler, LCSW
• Lawrence M. Cheng (smile haven dental)
• Sara Lawrence
• Emmalee Laxson
• LCS Behavioral Health, Inc
• Le-Viet Dental and Surgical Arts
• Amy Minh Le, PHARMD

• Physical Medicine & Rehabilitation Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.