Organization Active NPI

Laura Williams MD

  • Primary Care Clinic/Center
  • Murrieta, CA
National Provider Identifier
1457442121
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G76077 Issued in CA
Legal business name
LAURA WILLIAMS MD
Practice address
25102 Jefferson Ave
Suite a
Murrieta, CA 92562-1707
Phone
(951) 696-4009
Fax
(951) 696-8448
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Laura A Williams, MD, MPH
Title
Owner
Phone
(951) 696-4009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X G76077 CA Primary

Addresses

Primary practice location

25102 Jefferson Ave
Suite a
Murrieta, CA 92562-1707

Mailing address

25102 Jefferson Ave
Suite a
Murrieta, CA 92562-1707
Phone (951) 696-4009

Other identifiers 5

IdentifierTypeStateIssuer
10977784OtherCACAQH #
1861482531OtherCANPI INDIVIDUAL #
00G76077MedicaidCA
05D1051900OtherCACLIA ID #
G76077OtherCAMEDICAL LICENSE #

National Provider Directory

National Provider Directory

Locations

1392 Tavern Rd
Alpine, CA 91901
Phone (619) 445-0204

25102 Jefferson Ave
Ste A
Murrieta, CA 92562
Phone (951) 696-4009

25186 Hancock Ave
Ste 120
Murrieta, CA 92562
Phone (619) 445-0204

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1457442121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25102 JEFFERSON AVE",
            "address_2": "SUITE A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925621707",
            "telephone_number": "951-696-4009",
            "fax_number": "951-696-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25102 JEFFERSON AVE",
            "address_2": "SUITE A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925621707",
            "telephone_number": "951-696-4009",
            "fax_number": "951-696-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA WILLIAMS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-696-4009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G76077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH #",
            "identifier": "10977784",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL #",
            "identifier": "1861482531",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G76077",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID #",
            "identifier": "05D1051900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE #",
            "identifier": "G76077",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • 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.