Lakewood Pathology Associates, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LAKEWOOD PATHOLOGY ASSOCIATES, INC.

Practice address

5470 Blue Ridge Dr
Yorba Linda, CA 92887

Phone

(800) 440-7284

NPI assigned

Apr 16, 2009

Organization subpart

No

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

Authorized official

Name

Dana Arlene Simonds

Title

SVP, Compliance, Ethics & Quality

Phone

(214) 277-8700

Specialties & licenses 2

Addresses

Other names 1

• Inform Diagnostics Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Fulgent Therapeutics, LLC.

  • Clinical Medical Laboratory
  • El Monte, CA
  • NPI 1174964738

  Member Of

  NPD member
• Inform Diagnostics, Inc

  • Clinical Medical Laboratory
  • Scottsdale, AZ
  • NPI 1982358677

  Member Of

  NPD member

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572134400000",
    "number": "1407099732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 N MACARTHUR BLVD",
            "address_2": "ATTN: PROVIDER ENROLLMENT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392443",
            "telephone_number": "214-596-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 BLUE RIDGE DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "92887",
            "telephone_number": "800-440-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD PATHOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2019-10-27",
        "status": "A",
        "authorized_official_last_name": "SIMONDS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "ARLENE",
        "authorized_official_title_or_position": "SVP, COMPLIANCE, ETHICS & QUALITY",
        "authorized_official_telephone_number": "214-277-8700"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inform Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Kyle, NP
• L Marran OD PHD a Professional Optometric Corporation
• David Martin Laforteza
• Lillian Lai-Wu, MD
• Brian T. Lai, DO
• Thesla Lander
• Robert Landman, M.D.
• Alexis Lane
• Jennifer Lynn Langenwalter, MPH, NBC-HWC, CHES
• Ashley Lauren Lanphar, RN

• Clinical Medical Laboratory in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.