Individual provider Active NPI

Lauren Severs McNeely, M.D.

  • Pediatrics Physician
  • Vista, CA
National Provider Identifier
1316232341
Registry record updated May 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C161498 Issued in CA
Practice address
2067 W Vista Way Ste 250
Vista, CA 92083-6034
Phone
(562) 490-9900
Fax
(562) 452-7078
NPI assigned
Jun 17, 2011
Last updated
May 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C161498 CA Primary

Addresses

Primary practice location

2067 W Vista Way Ste 250
Vista, CA 92083-6034

Mailing address

2067 W Vista Way Ste 250
Vista, CA 92083-6034
Phone (562) 490-9900

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
I20221011002717 CA Practitioner - Pediatric Medicine 1355717679 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C161498CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tpirc Medical Foundation Inc Pediatrics CurrentSince Jun 1, 2022 Accepting new patients

Locations

701 E 28th St
Ste 419
Long Beach, CA 90806
Phone (562) 353-5907

2067 W Vista Way
Ste 250
Vista, CA 92083

Interoperability endpoints

  • Direct secure messaging: lauren.severs.1@11920.direct.athenahealth.com

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": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779494400000",
    "number": "1316232341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2067 W VISTA WAY STE 250",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836034",
            "telephone_number": "562-490-9900",
            "fax_number": "562-452-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 W VISTA WAY STE 250",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836034",
            "telephone_number": "562-490-9900",
            "fax_number": "562-452-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEELY",
        "first_name": "LAUREN",
        "middle_name": "SEVERS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C161498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.