Chelsea Jordan Lawrance, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

340 Dardanelli LN Ste 10
Los Gatos, CA 95032

Phone

(408) 412-8100

Fax

(408) 412-8499

NPI assigned

May 24, 2017

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 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Orthonorcal, Inc.

  • Orthopaedic Surgery Physician
  • Los Gatos, CA
  • NPI 1124398235
  Medicare reassignment
• Orthonorcal Inc

  • Orthopaedic Surgery Physician
  • Capitola, CA
  • NPI 1518412659
  NPD
• Dignity Health

  • General Acute Care Hospital
  • Santa Cruz, CA
  • NPI 1427181007
  NPD (past)
• El Camino Hospital

  • General Acute Care Hospital
  • Mountain View, CA
  • NPI 1093712374
  NPD (past)
• Good Samaritan Hospital, L.P.

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1376595777
  NPD (past)
• Watsonville Hospital Corporation

  • General Acute Care Hospital
  • Watsonville, CA
  • NPI 1710958228
  NPD (past)

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1255869178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 DARDANELLI LN STE 10",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321418",
            "telephone_number": "408-412-8100",
            "fax_number": "831-412-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 DARDANELLI LN STE 10",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-412-8100",
            "fax_number": "408-412-8499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26256 Country Gln",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "CA",
            "postal_code": "926307260",
            "country_code": "US",
            "telephone_number": "949-939-9165",
            "fax_number": "949-939-9165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRANCE",
        "first_name": "CHELSEA",
        "middle_name": "JORDAN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CA288052",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA54825",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger Lau, DDS
• Laurel Loomer
• Lauren Drag PHD a Psychological Corporation
• Robert Wilbut Lauridsen, PH.D.
• Niko Kamiya Lavalle
• Brent Carl Lay, DDS
• Rena Lazaga
• Christine Le, D.O.
• Quoc Sinh Le, PHARMD
• Joseph Patrick Leahy, JOSEPH LEAHY

• Physician Assistant in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.