NPIMap

Individual provider Active NPI

Michael Thomas Laird, M.D.

  • Orthopaedic Surgery Physician
  • Pismo Beach, CA
National Provider Identifier
1609953892
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G78037 Issued in CA
Practice address
921 Oak Park Blvd
Pismo Beach, CA 93449-3264
Phone
(805) 476-4949
Fax
(808) 473-3165
NPI assigned
Nov 1, 2006
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G78037 CA Primary

Addresses

Primary practice location

921 Oak Park Blvd
Pismo Beach, CA 93449-3264

Mailing address

921 Oak Park Blvd
Pismo Beach, CA 93449-3264
Phone (805) 473-4949

Other identifiers 1

IdentifierTypeStateIssuer
OOG780370MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100421000595 CA Practitioner - Orthopedic Surgery 8628027729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
R Franklin University of Med & Sci/Chicago Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Twain Medical CenterGroup PAC ID 8820073711, 27 clinicians

Practice addresses (Care Compare)

768 Mountain Ranch Rd
San Andreas, CA 95249-9707
Phone (209) 754-3521

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G78037CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Twain Medical Center CurrentSince Jan 10, 2024 Accepting new patients
Central Coast Orthopedic Medical Group Orthopaedic Surgery CurrentSince Sep 1, 1998 Accepting new patients
Central Coast Orthopedic Medical Group Orthopaedic Surgery PastSince Sep 1, 1998 Accepting new patients
Mark Twain Medical Center Past Accepting new patients

Locations

921 Oak Park Blvd
Ste 204
Pismo Beach, CA 93449
Phone (805) 473-4949

768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422

862 Meinecke Ave
Ste 100
Sn Luis Obisp, CA 93405
Phone (805) 541-4600

Interoperability endpoints

  • Direct secure messaging: mlaird@ccomg1991.srs-direct.com

Organizations & group practices 4

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1609953892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 OAK PARK BLVD",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493264",
            "telephone_number": "805-473-4949",
            "fax_number": "808-473-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 OAK PARK BLVD",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493264",
            "telephone_number": "805-476-4949",
            "fax_number": "808-473-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G78037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG780370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pismo Beach, CA

Sources for this page

Verify at the official NPI Registry.