Organization Active NPI

Patricio Lauder a Professional Medical Corp.

  • Anesthesiology Physician
  • Vacaville, CA
National Provider Identifier
1326462250
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A64160 Issued in CA
Legal business name
PATRICIO LAUDER A PROFESSIONAL MEDICAL CORP.
Practice address
1006 Nut Tree Rd
Vacaville, CA 95687-4100
Phone
(209) 339-9022
NPI assigned
Feb 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Authorized official

Name
Patricio Lauder, MD
Title
Owner
Phone
(209) 339-9022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A64160 CA Primary

Addresses

Primary practice location

1006 Nut Tree Rd
Vacaville, CA 95687-4100

Mailing address

PO Box 55243
Stockton, CA 95205-8743
Phone (209) 339-9022

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1326462250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55243",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952058743",
            "telephone_number": "209-339-9022",
            "fax_number": "209-339-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 NUT TREE RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874100",
            "telephone_number": "209-339-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIO LAUDER A PROFESSIONAL MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "LAUDER",
        "authorized_official_first_name": "PATRICIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-339-9022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A64160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.