Active NPI
Lawrence John Coates
- Ph.D. Medical Genetics
- Lancaster, CA
National Provider Identifier
1366590986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- Practice address
- 44709 Date Ave
Lancaster, CA 93534-3101 - Phone
- (661) 945-6707
- Fax
- (661) 942-5195
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 170100000X | CA | Primary |
Addresses
Primary practice location
44709 Date Ave
Lancaster, CA 93534-3101
Mailing address
44709 Date Ave
Lancaster, CA 93534-3101
Phone (661) 945-6707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY. 10063 | Other | CA | LICENSED PSYCHOLOGIST |
Other names 1
- Prof. Advance Counseling Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170100000X | CA | MD | Ph.D. Medical Genetics |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366590986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44709 DATE AVE",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343101",
"telephone_number": "661-945-6707",
"fax_number": "661-942-5195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44709 DATE AVE",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343101",
"telephone_number": "661-945-6707",
"fax_number": "661-942-5195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COATES",
"first_name": "LAWRENCE",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "170100000X",
"taxonomy_group": "",
"desc": "Medical Genetics, Ph.D. Medical Genetics",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PSYCHOLOGIST",
"identifier": "PSY. 10063",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ADVANCE",
"last_name": "CENTER",
"middle_name": "COUNSELING",
"prefix": "PROF.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.