Active NPI
Laura L McMullen, M.D.
- Pediatrics Physician
- San Mateo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A114657
- Practice address
- 123 S San Mateo Dr
Ste 260
San Mateo, CA 94401-3804 - Phone
- (650) 652-4200
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A114657 | CA | Primary |
Addresses
Primary practice location
123 S San Mateo Dr
Ste 260
San Mateo, CA 94401-3804
Mailing address
577 Airport Blvd
Suite 300
Burlingame, CA 94010-2020
Phone (650) 240-8198
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A114657 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Upmc Children'S Hospital of Pittsburgh | Past | Accepting new patients | |
| Butler Memorial Hospital | Past | Accepting new patients | |
| West Penn Allegheny Health System Inc. | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Palo Alto Medical Foundation | Past | Accepting new patients | |
| Upmc Magee-Womens Hospital | Past | Accepting new patients |
Locations
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
50 S San Mateo Dr
Fl 3
San Mateo, CA 94401
123 S San Mateo Dr
Ste 260
San Mateo, CA 94401
Phone (650) 652-4200
50 S San Mateo Dr
Ste 260
San Mateo, CA 94401
Phone (650) 579-6500
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- lmcmullenmdpmmp163041@hisp.ehr.sutterhealth.org
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Multi-Specialty Clinic/Center
- Orinda, CA
- NPI 1366898538
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Non-Pharmacy Dispensing Site
- Santa Cruz, CA
- NPI 1114182649
-
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
-
- General Acute Care Hospital
- Butler, PA
- NPI 1730186206
-
- Children's Hospital
- Pittsburgh, PA
- NPI 1164426896
-
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1952311508
-
- Psychiatric Hospital Unit
- Monroeville, PA
- NPI 1932125606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1437356714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "577 AIRPORT BLVD",
"address_2": "SUITE 300",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940102020",
"telephone_number": "650-240-8198",
"fax_number": "408-328-5695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S SAN MATEO DR",
"address_2": "STE 260",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013804",
"telephone_number": "650-652-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMULLEN",
"first_name": "LAURA",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A114657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.