Active NPI
Laura Williams MD
- Primary Care Clinic/Center
- Murrieta, CA
National Provider Identifier
1457442121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- G76077
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10977784 | Other | CA | CAQH # |
| 1861482531 | Other | CA | NPI INDIVIDUAL # |
| 00G76077 | Medicaid | CA | |
| 05D1051900 | Other | CA | CLIA ID # |
| G76077 | Other | CA | MEDICAL LICENSE # |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pain Medicine Physician
- San Diego, CA
- NPI 1275571010
-
- Medical Physician Assistant
- Riverside, CA
- NPI 1922024926
-
- Family Health Clinical Nurse Specialist
- Murrieta, CA
- NPI 1487983375
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.