Lynnezy Laurencin, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G066042 Issued in CA

Practice address

360 E 1St St
Suite 281
Tustin, CA 92780-3211

Phone

(714) 785-7307

NPI assigned

May 2, 2015

Last updated

Nov 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gustavo Alva, M.D., a Professional Corporation

  • Psychiatry Physician
  • Costa Mesa, CA
  • NPI 1376884072
  Medicare reassignment NPD
• Feeling Good Medical

  • Psychiatry Physician
  • Irvine, CA
  • NPI 1609747989
  NPD Authorized official

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

{
    "created_epoch": "1430524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1619354297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E. 1ST STREET",
            "address_2": "# 281",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E 1ST ST",
            "address_2": "SUITE 281",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803211",
            "telephone_number": "714-785-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURENCIN",
        "first_name": "LYNNEZY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-02",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G066042",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G066042",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G066042",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G066042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul A. Larsen, MFT
• Brittani Nichole Laski, FNP
• Lydia Yeeyen Lau, PA-C
• Shiao-Li Lau
• Patrick Laufau, D.C.
• Michelle Laus, D.C.
• Rasela Lavea
• Lavender Florance Licensed Marriage and Family Therapist Professional
• Jack Lazenby
• Anh-Dao Vu Le, MD

• Psychiatry Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.