Active NPI
Lawrence Grant Waldrop, M.D.
- Specialist
- Los Alamitos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G53132
- Practice address
- 3791 Katella Ave
Suite 104
Los Alamitos, CA 90720-3105 - Phone
- (562) 493-6461
- Fax
- (562) 489-8489
- NPI assigned
- Jul 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G53132 | CA | Primary |
Addresses
Primary practice location
3791 Katella Ave
Suite 104
Los Alamitos, CA 90720-3105
Mailing address
3791 Katella Ave
Suite 104
Los Alamitos, CA 90720-3105
Phone (562) 493-6461
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100408000515 | CA | Practitioner - Internal Medicine | 9739215252 | Practice locations: Los Alamitos, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Medical Branch at Galveston, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3791 Kafella Ave
Suite 104
Los Alamitos, CA 90720-2000
Phone (562) 493-6461
Hospital & facility affiliations
- Evergreen Home Health
- Uci Health-Orange
- Memorialcare Long Beach Medical Center
- Alamitos West Health & Rehabilitation
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G53132 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Past | Accepting new patients | |
| Los Alamitos Medical Center, Inc. | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Mary Medical Center
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
dba Los Alamitos Medical Center
- Psychiatric Hospital Unit
- Los Alamitos, CA
- NPI 1497780084
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Cerritos, CA
- NPI 1104821537
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
-
dba Alamitos West Health and Rehabilitation
- Skilled Nursing Facility
- Los Alamitos, CA
- NPI 1801643739
Nursing home
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245264969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3791 KATELLA AVE",
"address_2": "SUITE 104",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203105",
"telephone_number": "562-493-6461",
"fax_number": "562-489-8489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3791 KATELLA AVE",
"address_2": "SUITE 104",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203105",
"telephone_number": "562-493-6461",
"fax_number": "562-489-8489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDROP",
"first_name": "LAWRENCE",
"middle_name": "GRANT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G53132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.