David Michael Larson, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A122666 Issued in CA

Practice address

345 Saxony Rd Ste 206
Encinitas, CA 92024-2792

Phone

(858) 367-3401

Fax

(760) 456-4703

NPI assigned

Jul 14, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Dave Michael Larson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 8, 2018 through Jun 8, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: david.larson@138199882465284.direct.elationemr.com
• Direct secure messaging: dlarson202745@scrippshlth.medalliesdirect.net

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.

• David Larson MD PC

  • Adult Medicine Physician
  • Encinitas, CA
  • NPI 1982161105
  NPD (past) Authorized official
• Larson Medical Group, Inc

  • Family Medicine Physician
  • Del Mar, CA
  • NPI 1679049076
  NPD (past) Authorized official
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Indiana University Health Ball Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Muncie, IN
  • NPI 1225195340
  NPD (past)

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567296000000",
    "number": "1609164391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 SAXONY RD STE 206",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242792",
            "telephone_number": "760-230-1317",
            "fax_number": "760-456-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SAXONY RD STE 206",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242792",
            "telephone_number": "858-367-3401",
            "fax_number": "760-456-4703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1442 Camino Del Mar Ste 212",
            "address_purpose": "LOCATION",
            "city": "Del Mar",
            "state": "CA",
            "postal_code": "920142550",
            "country_code": "US",
            "telephone_number": "760-634-1704",
            "fax_number": "760-494-7231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2019-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A122666",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A122666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVE",
            "last_name": "LARSON",
            "middle_name": "MICHAEL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Valerie Langarica
• Linda E. Langhorn, L.AC.
• Montana Nicole Lankey
• Janet E Lapp, PHD
• Heriberto Lara Jr., ATC
• Ali Reza Lashgari, M.D.
• Donald B. Lashure, LCSW
• William Mark Lassleben, PH.D.
• Darbie F Lastra
• Lauren Choe Marriage and Family Therapy Professional Corporation (Lauren Choe Therapy)

• Adult Medicine Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.