Active NPI
Laurence Athos M D Inc
- Pulmonary Disease Physician
- Castro Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G34546
- Legal business name
- LAURENCE ATHOS M D INC
- Practice address
- 19830 Lake Chabot Rd
Suite D
Castro Valley, CA 94546-4063 - Phone
- (510) 889-1677
- Fax
- (510) 889-5823
- NPI assigned
- Nov 12, 2006
- Last updated
- Mar 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laurence Athos, M.D.
- Title
- President
- Phone
- (510) 889-1677
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | G34546 | CA | Primary |
Addresses
Primary practice location
19830 Lake Chabot Rd
Suite D
Castro Valley, CA 94546-4063
Mailing address
19830 Lake Chabot Rd
Suite D
Castro Valley, CA 94546-4063
Phone (510) 889-1677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G345460 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
19830 Lake Chabot Rd
Ste D
Castro Valley, CA 94546
Phone (510) 889-1677
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pulmonary Disease Physician
- Castro Valley, CA
- NPI 1194898510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426636800000",
"number": "1225109358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19830 LAKE CHABOT RD",
"address_2": "SUITE D",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945464063",
"telephone_number": "510-889-1677",
"fax_number": "510-889-5823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19830 LAKE CHABOT RD",
"address_2": "SUITE D",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945464063",
"telephone_number": "510-889-1677",
"fax_number": "510-889-5823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURENCE ATHOS M D INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-12",
"last_updated": "2015-03-18",
"status": "A",
"authorized_official_last_name": "ATHOS",
"authorized_official_first_name": "LAURENCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-889-1677",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G34546",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G345460",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.