La Luz Center

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

LA LUZ CENTER

Practice address

17560 Greger St
Sonoma, CA 95476-3617

Phone

(707) 938-5131

Fax

(707) 996-1287

NPI assigned

Aug 30, 2024

Organization subpart

No

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

Authorized official

Name

Leonardo Lobato

Title

Executive Director

Phone

(707) 938-5131

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1356175392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17560 GREGER ST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954763617",
            "telephone_number": "707-938-5131",
            "fax_number": "707-996-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17560 GREGER ST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954763617",
            "telephone_number": "707-938-5131",
            "fax_number": "707-996-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA LUZ CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "LOBATO",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-938-5131"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Louise Kramer, MD
• Jonathan Isaac Austin Krauss Sr., LPT
• Carol Krauthamer
• Christopher M Kutza, PHARMD
• Soonnam Kwon, NP
• Robin Labitzke
• Pieter Michiel Lagaay, D.P.M.
• Tiffany Lam, PHARMD
• Tana M Lambert, LEP
• Erin Kathleen Landgraf, BCBA

• Supports Brokerage Agency in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Supports Brokerage Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.