Individual provider Active NPI

Lawrence Onoda, PHD

  • Clinical Psychologist
  • Mission Hills, CA
National Provider Identifier
1497825913
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 4629 Issued in CA
Practice address
15545 Devonshire St
Ste 111
Mission Hills, CA 91345
Phone
(818) 893-3800
Fax
(818) 745-9848
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 4629 CA Primary

Addresses

Primary practice location

15545 Devonshire St
Ste 111
Mission Hills, CA 91345

Mailing address

15545 Devonshire St
Ste 111
Mission Hills, CA 91345
Phone (818) 893-3800

Other identifiers 2

IdentifierTypeStateIssuer
2251918OtherCAMEDICAID UPIN
00PL46290MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070716000454 CA Practitioner - Clinical Psychologist 9638279995 Practice locations: Panorama City, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14500 Roscoe Blvd
FL 4
Panorama City, CA 91402-4194

14500 Roscoe Blvd
Suite 806
Panorama City, CA 91402-4190
Phone (818) 893-3800

14500 Roscoe Blvd 4TH FLR
Suite 806
Panorama City, CA 91402-4194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY 4629CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Home Healthcare Provider, Inc Past 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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1497825913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15545 DEVONSHIRE ST",
            "address_2": "STE 111",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "91345",
            "telephone_number": "818-893-3800",
            "fax_number": "818-745-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15545 DEVONSHIRE ST",
            "address_2": "STE 111",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "91345",
            "telephone_number": "818-893-3800",
            "fax_number": "818-745-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONODA",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 4629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID UPIN",
            "identifier": "2251918",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PL46290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.