Individual provider Active NPI

Lauren Patty, MD

  • Plastic Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1598129801
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A154144 Issued in CA
Practice address
400 Newport Center Dr Ste 707
Newport Beach, CA 92660-8605
Phone
(949) 720-8098
NPI assigned
Apr 12, 2016
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A154144 CA Primary

Addresses

Primary practice location

400 Newport Center Dr Ste 707
Newport Beach, CA 92660-8605

Mailing address

575 Donovan LN
Costa Mesa, CA 92627-8700
Phone (808) 631-1991

Other practice location 1

17877 Von Karman Ave Ste 350
Irvine, CA 92614-5236
Phone (949) 404-4440

Other practice location 2

550 S Winchester Blvd Ste 110
San Jose, CA 95128-2526
Phone (408) 889-5755

Other practice location 3

4510 Excecutive Dr. Ste 100
San Diego, CA 92121
Phone (858) 926-7994

Other practice location 4

2270 Douglas Blvd Ste 115
Roseville, CA 95661-4239
Phone (916) 797-1133

Other names 1

  • LPMD Inc Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL LDP@laurenpattymd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154144CAMDPlastic Surgery Physician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1598129801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 DONOVAN LN",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926278700",
            "telephone_number": "808-631-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 707",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608605",
            "telephone_number": "949-720-8098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17877 Von Karman Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926145236",
            "country_code": "US",
            "telephone_number": "949-404-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 S Winchester Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951282526",
            "country_code": "US",
            "telephone_number": "408-889-5755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4510 Excecutive Dr. Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92121",
            "country_code": "US",
            "telephone_number": "858-926-7994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2270 Douglas Blvd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956614239",
            "country_code": "US",
            "telephone_number": "916-797-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTY",
        "first_name": "LAUREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A154144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LDP@laurenpattymd.com",
            "affiliation": "N",
            "endpointDescription": "provider email",
            "address_1": "400 Newport Center Dr Ste 707",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926608605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LPMD",
            "last_name": "INC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.