Active NPI
Lawrence Browning Willes, MD
- Anatomic Pathology & Clinical Pathology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A103827
- Practice address
- 200 W Arbor Dr # Mc8720
San Diego, CA 92103-9001 - Phone
- (619) 543-5966
- NPI assigned
- Nov 22, 2010
- Last updated
- Nov 22, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A103827 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Dr # Mc8720
San Diego, CA 92103-9001
Mailing address
200 W Arbor Dr # Mc8720
San Diego, CA 92103-9001
Phone (619) 543-5966
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
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Loma Linda University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8320
1509 Wilson Terrace
Glendale, CA 91206-4007
1720 Cesar E Chaves Ave
Los Angeles, CA 90033-2414
Phone (323) 268-5000
20350 Ventura Blvd
Suite 205
Woodland Hills, CA 91364-2488
Phone (818) 718-9510
2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 97.98
- Improvement activities
- 40
- Cost
- 82.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103827 | CA | MD | Clinical Social Worker |
| A103827 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Organizations & group practices 1
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Glendale, CA
- NPI 1053305797
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Glendale
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1255633442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W ARBOR DR # MC8720",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039001",
"telephone_number": "619-543-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR # MC8720",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039001",
"telephone_number": "619-543-5966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLES",
"first_name": "LAWRENCE",
"middle_name": "BROWNING",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-22",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A103827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.