Active NPI
Lawrence Gordon Foster, M.D.
- Surgery Physician
- Anza, CA
National Provider Identifier
1629094339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A34957
- 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, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A34957 | CA | MD | Surgery Physician |
| 35.042130 | OH | MD | Surgery Physician |
| 2534A | WY | MD | Surgery Physician |
| 34957 | CA | MD | Technician |
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.