Individual provider Active NPI

Laura-Ashley Oconnell, DPM

  • Foot & Ankle Surgery Podiatrist
  • Upland, CA
National Provider Identifier
1356901078
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5802 Issued in CA
Practice address
299 W Foothill Blvd Ste 124
Upland, CA 91786-3854
Phone
(909) 946-6643
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E5802 CA
Primary Podiatric Medicine Podiatrist 213EP1101X E5802 CA
Sports Medicine Podiatrist 213ES0000X E5802 CA
Foot & Ankle Surgery Podiatrist 213ES0103X E5802 CA Primary

Addresses

Primary practice location

299 W Foothill Blvd Ste 124
Upland, CA 91786-3854

Mailing address

299 W Foothill Blvd Ste 124
Upland, CA 91786-3854

Other names 1

  • Laura Oconnell Professional name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220318001113 CA Practitioner - Podiatry 7517352065 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire Foot and Ankle Center IncGroup PAC ID 1254617244, 9 clinicians
Foot and Ankle Care Team IncGroup PAC ID 6901145309, 5 clinicians
Riverside Foot and Ankle Center IncGroup PAC ID 2365839883, 6 clinicians

Practice addresses (Care Compare)

299 W Foothill Blvd
Suite 124
Upland, CA 91786-3854
Phone (909) 946-6643

5365 Walnut Ave
Suite M
Chino, CA 91710-2622
Phone (909) 946-6643

6216 Brockton Ave
Suite 211
Riverside, CA 92506-2223
Phone (909) 946-6643

Hospital & facility affiliations

  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • Chino Valley Medical Center Hospital, Chino, CA, CCN 050586

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue50
Removal of skin lesions1-10
Removal of nail tissue925
Removal or shaving of skin growth804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5802CAMDFoot & Ankle Surgery Podiatrist

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Tarzana Foot and Ankle Center Inc Podiatrist CurrentSince Sep 1, 2022 Accepting new patients
Riverside Foot and Ankle Center Inc Foot & Ankle Surgery CurrentSince May 1, 2022 Accepting new patients
Empire Foot and Ankle Center Inc. Foot & Ankle Surgery CurrentSince Dec 1, 2021 Accepting new patients
Rancho Foot and Ankle Center Inc Podiatrist CurrentSince Jun 16, 2026 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients

Locations

12611 9th St
Ste B
Chino, CA 91710
Phone (714) 589-4507

5365 Walnut Ave
Ste M
Chino, CA 91710
Phone (909) 364-1088

1141 W Redondo Beach Blvd
Ste 302
Gardena, CA 90247
Phone (310) 532-8124

11000 Eucalyptus St
Ste 120
Rancho Cucamonga, CA 91730
Phone (909) 946-6643

6216 Brockton Ave
Ste 211
Riverside, CA 92506
Phone (909) 772-4226

18607 Ventura Blvd
Ste 202
Tarzana, CA 91356
Phone (818) 650-0004

3521 Lomita Blvd
Ste 103
Torrance, CA 90505

299 W Foothill Blvd
Ste 124
Upland, CA 91786
Phone (909) 946-6643

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1356901078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 W FOOTHILL BLVD STE 124",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 W FOOTHILL BLVD STE 124",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863854",
            "telephone_number": "909-946-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNELL",
        "first_name": "LAURA-ASHLEY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5802",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E5802",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CA",
            "license": "E5802",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "OCONNELL",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.