Individual provider Active NPI

Laurie Hedden, MD

  • Family Medicine Physician
  • Los Banos, CA
National Provider Identifier
1447348461
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G45591 Issued in CA
Practice address
285 Mercey Springs Rd
Ste a
Los Banos, CA 93635-3878
Phone
(209) 829-0444
Fax
(209) 829-0445
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G45591 CA Primary

Addresses

Primary practice location

285 Mercey Springs Rd
Ste a
Los Banos, CA 93635-3878

Mailing address

4 Rossi Cir
Suite 141
Salinas, CA 93907-2362
Phone (831) 757-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G45591CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Banos Medical Group a Medical Corporation Family Medicine PastSince Jan 1, 2005 Accepting new patients

Organizations & group practices 1

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261612800000",
    "number": "1447348461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROSSI CIR",
            "address_2": "SUITE 141",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939072362",
            "telephone_number": "831-757-4444",
            "fax_number": "831-757-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MERCEY SPRINGS RD",
            "address_2": "STE A",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353878",
            "telephone_number": "209-829-0444",
            "fax_number": "209-829-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDDEN",
        "first_name": "LAURIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G45591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; 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.