Kristi Lynn Larock, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

17772 Issued in CA

Practice address

2500 Mowry Ave
Suite 222
Fremont, CA 94538-1605

Phone

(510) 818-1160

Fax

(510) 818-1195

NPI assigned

Dec 20, 2005

Last updated

May 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

87.74 of 100Reported as group

Quality

66.48

Promoting interoperability

100

Improvement activities

40

Cost

75.97

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: klarock87431@direct.whhs.com

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.

• Alameda Health System

  dba Newark Health Center

  • Federally Qualified Health Center (FQHC)
  • Newark, CA
  • NPI 1497956288
  NPD
• Alameda Health System

  • Federally Qualified Health Center (FQHC)
  • San Leandro, CA
  • NPI 1558749440
  NPD
• Washington Township Medical Foundation

  dba Washington Health Urgent Care

  • Urgent Care Clinic/Center
  • Fremont, CA
  • NPI 1669360681
  NPD
• Washington Township Medical Group

  • Family Medicine Physician
  • Fremont, CA
  • NPI 1174675417
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1255317350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39141 CIVIC CENTER DR",
            "address_2": "SUITE 220",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945385818",
            "telephone_number": "510-248-1018",
            "fax_number": "510-608-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MOWRY AVE",
            "address_2": "SUITE 222",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381605",
            "telephone_number": "510-818-1160",
            "fax_number": "510-818-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCK",
        "first_name": "KRISTI",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "17772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE NUMBER",
            "identifier": "17772",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lara T. San Pedro, Psy.D., a Psychological Corporation
• Dina M Lara, SCHOOL PSYCHOLOGIST
• Jada Lara
• Jasmine Lara
• Mary Larenas, PSY.D.
• Barbara L Larsen, MFT
• Rodolfo Keano Laserna Jr.
• Chai-Kiong Lau, M.D.
• Chiman Stephen Lau, L.AC., OMD
• Cindy Lau, PHARMD, BCPS, BCCCP

• Physician Assistant in Fremont, CA
• Providers in Fremont, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.