Jerry Alan Lawrence, REP

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

10061 Forrestal Dr
Huntington Beach, CA 92646-3717

Phone

(714) 403-1263

Fax

(714) 968-0747

NPI assigned

Mar 30, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285900522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10061 FORRESTAL DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10061 FORRESTAL DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926463717",
            "telephone_number": "714-403-1263",
            "fax_number": "714-968-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "JERRY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "REP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesslyn Laureano, BCBA
• David B Lavenau, PSYD
• Adam David Law, DPT
• Markus Law
• Jaleh M Lawlor, DPT
• Lawton Consulting, Inc.
• Bar Lazar
• Anthony Lazarte
• Isabel Sofia Lazo, COTA/L
• Junelyn Lazo, PH.D, BCBA-D

• Durable Medical Equipment & Medical Supplies in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.