Laurence J. Mazzotta MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G28907 Issued in CA

Legal business name

LAURENCE J. MAZZOTTA MD PC

Practice address

480 Redwood St
Suite 14
Vallejo, CA 94590-2958

Phone

(707) 648-3327

Fax

(707) 648-3902

NPI assigned

Nov 14, 2007

Last updated

Oct 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laurence J Mazzotta, MDNPI 1790740546

Title

Sole Proprietor

Phone

(707) 648-3327

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laurence J Mazzotta, M.D.

  • Gastroenterology Physician
  • Vallejo, CA
  • NPI 1790740546
  NPD (past) Authorized official

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1386825750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 REDWOOD ST",
            "address_2": "SUITE 14",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902958",
            "telephone_number": "707-648-3327",
            "fax_number": "707-648-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 REDWOOD ST",
            "address_2": "SUITE 14",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902958",
            "telephone_number": "707-648-3327",
            "fax_number": "707-648-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE J. MAZZOTTA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "MAZZOTTA",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "707-648-3327",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G28907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G289070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meagan Lasecke
• Mallie Fernacia Latham
• Katherine L. Lau, MD
• Siutu Ofaloto Lauama
• Josefina Lauder Lauder, RPH
• Linda L Lawless, LMFT, LMHC
• Monica A Lawry, M.D.
• Timothy Ivin Lawver, D.O.
• Sophie A Lay, MD
• Chloe Eliza Le Marchand, M.D.

• Gastroenterology Physician in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.