Organization Active NPI

Laurence Athos M D Inc

  • Pulmonary Disease Physician
  • Castro Valley, CA
National Provider Identifier
1225109358
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G34546 Issued in CA
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Dr. Laurence Athos, M.D.NPI 1194898510
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G345460MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.