Active NPI
Michael Weling Lauermann, M.D.
- Specialist
- Los Alamitos, CA
National Provider Identifier
1265522684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A25668
- 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, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W20716 | Other | CA | MEDICARE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070601000479 | CA | Practitioner - Infectious Disease | 8527166354 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A25668 | CA | MD | Specialist |
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.
-
- Specialist
- Los Alamitos, CA
- NPI 1902925621
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.