Individual provider Active NPI

Lawrence S Paikoff, M.D.

  • Specialist
  • Davis, CA
National Provider Identifier
1386694404
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G61673 Issued in CA
Practice address
1712 Picasso Ave
#C
Davis, CA 95616-0546
Phone
(530) 750-3500
Fax
(530) 750-3045
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G61673 CA Primary

Addresses

Primary practice location

1712 Picasso Ave
#C
Davis, CA 95616-0546

Mailing address

1712 Picasso Ave
#C
Davis, CA 95616-0546
Phone (530) 750-3500

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080505000845 CA Practitioner - Internal Medicine 8426130758 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G61673CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Central Coast Inc CurrentSince Jul 28, 2014 Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Jul 28, 2014 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients

Locations

1057 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 270-1700

7512 Morro Rd
Atascadero, CA 93422
Phone (805) 461-3344

150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254

1551 Bishop St
Ste A160
Sn Luis Obisp, CA 93401
Phone (805) 781-4230

325 Posada Ln
Templeton, CA 93465
Phone (805) 239-0644

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386694404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 PICASSO AVE",
            "address_2": "#C",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956160546",
            "telephone_number": "530-750-3500",
            "fax_number": "530-750-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 PICASSO AVE",
            "address_2": "#C",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956160546",
            "telephone_number": "530-750-3500",
            "fax_number": "530-750-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIKOFF",
        "first_name": "LAWRENCE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G61673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.