Individual provider Active NPI

Laura Lynn Kurisu Desadier, D.O.

  • Neurology Physician
  • Carlsbad, CA
National Provider Identifier
1245487982
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
20A14045 Issued in CA
Practice address
6010 Hidden Valley Rd Ste 200
Carlsbad, CA 92011-4219
Phone
(760) 631-3000
Fax
(760) 631-3016
NPI assigned
Aug 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 20A14045 CA
Neurology Physician 2084N0400X 20A14045 CA Primary

Addresses

Primary practice location

6010 Hidden Valley Rd Ste 200
Carlsbad, CA 92011-4219

Mailing address

6010 Hidden Valley Rd Ste 200
Carlsbad, CA 92011-4219
Phone (760) 631-3000

Other names 1

  • Laura Lynn Kurisu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A14045CAMDHospitalist Physician
14045CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Peaceful Promise, Inc Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ldesadier42927@scrippshlth.medalliesdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1245487982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 HIDDEN VALLEY RD STE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114219",
            "telephone_number": "760-631-3000",
            "fax_number": "760-631-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 HIDDEN VALLEY RD STE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114219",
            "telephone_number": "760-631-3000",
            "fax_number": "760-631-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESADIER",
        "first_name": "LAURA",
        "middle_name": "LYNN KURISU",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A14045",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "20A14045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KURISU",
            "middle_name": "LYNN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.