Individual provider Active NPI

Lawrence Gordon Foster, M.D.

  • Surgery Physician
  • Anza, CA
National Provider Identifier
1629094339
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A34957 Issued in CA
Practice address
58581 US Highway 371
Ste F, G, H
Anza, CA 92539-9331
Phone
(951) 763-4759
NPI assigned
Jul 14, 2006
Last updated
May 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A34957 CA Primary
Surgery Physician 208600000X 35.042130 OH
Surgery Physician 208600000X 2534A WY

Addresses

Primary practice location

58581 US Highway 371
Ste F, G, H
Anza, CA 92539-9331

Mailing address

230 Hospital Dr Ste B
Ukiah, CA 95482-4563
Phone (707) 463-3501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A34957CAMDSurgery Physician
35.042130OHMDSurgery Physician
2534AWYMDSurgery Physician
34957CAMDTechnician

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1629094339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HOSPITAL DR STE B",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824563",
            "telephone_number": "707-463-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58581 US HIGHWAY 371",
            "address_2": "STE F, G, H",
            "city": "ANZA",
            "state": "CA",
            "postal_code": "925399331",
            "telephone_number": "951-763-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "LAWRENCE",
        "middle_name": "GORDON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A34957",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.042130",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WY",
            "license": "2534A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anza, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.