Laser Surgery Center of Northern California LTD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

LASER SURGERY CENTER OF NORTHERN CALIFORNIA LTD

Practice address

2021 Ygnacio Valley Rd
BLDG H Ste 102
Walnut Creek, CA 94598

Phone

(925) 944-9400

Fax

(925) 947-2160

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Michele E McKinley

Title

Administrator

Phone

(925) 944-9400

Specialties & licenses 1

Addresses

Other identifiers 2

Listed as

Laser Surgery CtrCCN 05C0001367

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David H.Y. Lin, M.D.

  • Gastroenterology Physician
  • Walnut Creek, CA
  • NPI 1982664041
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1609938570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 YGNACIO VALLEY RD",
            "address_2": "BLDG H STE 102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-944-9400",
            "fax_number": "925-947-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 YGNACIO VALLEY RD",
            "address_2": "BLDG H STE 102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-944-9400",
            "fax_number": "925-947-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER SURGERY CENTER OF NORTHERN CALIFORNIA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "MCKINLEY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "925-944-9400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "140000518",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01367F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Larrabure, MD
• Ariana Elizabeth Larrea
• T'Maro Larry-Crozier
• Ryan C Larscheid, M.D.
• Erin S Larson
• Kira Ann Lass, RN
• Lasting Smiles by Leandra LLC
• Kristen Helen Lateiner, NP
• Billy Lau, PHARMD
• Garrick C. Lau, MD, PHD

• Gastroenterology Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.