NPIMap

Individual provider Active NPI

Laura Haagenson Dipaolo, M.D.

  • Internal Medicine Physician
  • Burlingame, CA
National Provider Identifier
1326397936
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
FD4153588 Issued in CA
Practice address
1501 Trousdale Dr
3Rd Floor
Burlingame, CA 94010-4506
Phone
(650) 652-8500
NPI assigned
Aug 29, 2012
Last updated
Nov 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X FD4153588 CA Primary

Addresses

Primary practice location

1501 Trousdale Dr
3Rd Floor
Burlingame, CA 94010-4506

Mailing address

PO Box 232410
Ste 300
San Diego, CA 92193-2410
Phone (619) 543-6164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140909002119 CA Practitioner - Family Practice 1254575640 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity HealthGroup PAC ID 2062320559, 88 clinicians

Practice addresses (Care Compare)

2480 Sonoma St
Redding, CA 96001-3027
Phone (530) 576-7405

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Community Health Center Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California - Ucsd Medical Group Current Accepting new patients
Dignity Health Current Accepting new patients
Regents of the University of California Current Accepting new patients
Shasta Community Health Center Internal Medicine CurrentSince Mar 11, 2016 Accepting new patients
Regents of the University of California Current Accepting new patients
Dignity Health CurrentSince Oct 1, 2020 Accepting new patients
Regents of the University of California Current Accepting new patients
Dignity Health CurrentSince Oct 1, 2020 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California CurrentSince Oct 17, 2016 Accepting new patients
Regents of the University of California CurrentSince Oct 17, 2016 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Current Accepting new patients
Shasta Community Health Center Internal Medicine CurrentSince Mar 11, 2016 Accepting new patients

Locations

1035 Placer St
Redding, CA 96001

2480 Sonoma St
Redding, CA 96001
Phone (530) 225-6090

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5720

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1326397936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "address_2": "STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410",
            "telephone_number": "619-543-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 TROUSDALE DR",
            "address_2": "3RD FLOOR",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104506",
            "telephone_number": "650-652-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPAOLO",
        "first_name": "LAURA",
        "middle_name": "HAAGENSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "FD4153588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.