Lauren Rebecca Abelson, PA-C
Individual provider Active NPI Physician Assistant · Pleasanton, CA
NPI 1477859205 · NPPES record last updated Jun 13, 2023
Key facts
- NPI
- 1477859205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA21431 (CA)
- Practice address
- 5555 W Las Positas Blvd # 400
Pleasanton, CA 94588-4000 - Phone
- (925) 463-3400
- NPI assigned
- Jan 26, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Permanente Medical Group Inc
Practice addresses (Care Compare)
901 Nevin Ave
Richmond, CA 94801-3143
Phone (510) 307-1500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110413000729 | CA | Practitioner - Physician Assistant | 3476737594 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA21431 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Current |
Accepting new patients | |
| Permanente Medical Group, Inc | Current |
Accepting new patients | |
| Webster Orthopaedic Medical Group, a Professional Corporation | Past | Accepting new patients |
Locations
4501 Sand Creek Rd
Antioch, CA 94531
Phone (925) 813-6420
1800 Harrison St
Fl 7
Oakland, CA 94612
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA21431 | CA | Yes |
Addresses
Primary practice location
5555 W Las Positas Blvd # 400
Pleasanton, CA 94588-4000
Mailing address
1240 Butterfield Rd
San Anselmo, CA 94960-1006
Phone (415) 531-0535
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Other providers in Pleasanton, CA
- A Plus Hospice, Inc.
- A Plus Prime Care Hospice Inc
- Aat Home Placement Inc
- Abdulbaset Taher Abdulgader
- Nilda Agnes Abella Abellera
- Michael Dean Abney
- Aileen Aboudi
- Jonathan Clark Abramson
- Nedaa A Abuallan III
- Miurell Abud
All providers in Pleasanton, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.