Individual provider Active NPI

Lonna Larsh, M.D.

  • Family Medicine Physician
  • Santa Cruz, CA
National Provider Identifier
1659351245
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G75442 Issued in CA
Practice address
709 Frederick St
Santa Cruz, CA 95062-2204
Phone
(831) 421-0775
Fax
(831) 515-5004
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G75442 CA Primary

Addresses

Primary practice location

709 Frederick St
Santa Cruz, CA 95062-2204

Mailing address

709 Frederick St
Santa Cruz, CA 95062-2204
Phone (831) 421-0775

Other practice location 1

700 River St
Santa Cruz, CA 95060-2748
Phone (831) 457-2000

Other practice location 2

4450 Capitola Rd
Capitola, CA 95010-3570
Phone (831) 777-3030

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140224000804 CA Order and Referring Only - Family PracticePractitioner - Family Practice 3779718978

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75442CAMDCommunity Health Registered Nurse
G75442CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
River Street Integrative Medicine, Inc. Past Accepting new patients
Scott Sawyer Chiropractic, Inc. PastSince Sep 11, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lonna.larsh.1@19041.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1659351245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 FREDERICK ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622204",
            "telephone_number": "831-421-0775",
            "fax_number": "831-515-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 FREDERICK ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622204",
            "telephone_number": "831-421-0775",
            "fax_number": "831-515-5004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 River St",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950602748",
            "country_code": "US",
            "telephone_number": "831-457-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4450 Capitola Rd",
            "address_purpose": "LOCATION",
            "city": "Capitola",
            "state": "CA",
            "postal_code": "950103570",
            "country_code": "US",
            "telephone_number": "831-777-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSH",
        "first_name": "LONNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G75442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.