Gary John Lawson MD a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C27864 Issued in CA

Legal business name

GARY JOHN LAWSON MD A MEDICAL CORPORATION

Practice address

17447 Chatsworth St
Granada Hills, CA 91344-5718

Phone

(818) 360-1858

Fax

(818) 360-4979

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary John Lawson, MD

Title

Self

Phone

(818) 360-1858

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1447305099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17447 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445718",
            "telephone_number": "818-360-1858",
            "fax_number": "818-360-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17447 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445718",
            "telephone_number": "818-360-1858",
            "fax_number": "818-360-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY JOHN LAWSON MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "SELF",
        "authorized_official_telephone_number": "818-360-1858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C27864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C27864",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.