Individual provider Active NPI

Michael Weling Lauermann, M.D.

  • Specialist
  • Los Alamitos, CA
National Provider Identifier
1265522684
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A25668 Issued in CA
Practice address
10941 Bloomfield St
Suite a.
Los Alamitos, CA 90720-2530
Phone
(562) 799-9500
Fax
(562) 799-9300
NPI assigned
Oct 14, 2006
Last updated
Sep 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A25668 CA Primary
Infectious Disease Physician 207RI0200X A25668 CA

Addresses

Primary practice location

10941 Bloomfield St
Suite a.
Los Alamitos, CA 90720-2530

Mailing address

16835 Algonquin St
Suite 490
Huntington Beach, CA 92649-3810
Phone (714) 943-1372

Other identifiers 1

IdentifierTypeStateIssuer
W20716OtherCAMEDICARE ID-TYPE UNSPECIFIED

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070601000479 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 8527166354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A25668CAMDSpecialist

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.

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1265522684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16835 ALGONQUIN ST",
            "address_2": "SUITE 490",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493810",
            "telephone_number": "714-943-1372",
            "fax_number": "562-799-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10941 BLOOMFIELD ST",
            "address_2": "SUITE A.",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202530",
            "telephone_number": "562-799-9500",
            "fax_number": "562-799-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUERMANN",
        "first_name": "MICHAEL",
        "middle_name": "WELING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A25668",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A25668",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE   UNSPECIFIED",
            "identifier": "W20716",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.