Kevin O. Lawrence MD Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A84093 Issued in CA

Legal business name

KEVIN O. LAWRENCE MD INC

Practice address

10841 White Oak Ave
Suite 201
Rancho Cucamonga, CA 91730-3811

Phone

(909) 581-6400

Fax

(909) 581-7275

NPI assigned

Apr 21, 2008

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Odinni Lawrence, MDNPI 1215913058

Title

Owner

Phone

(909) 581-6400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin O Lawrence, MD

  • Physical Medicine & Rehabilitation Physician
  • Rancho Cucamonga, CA
  • NPI 1215913058
  Medicare reassignment Authorized official
• Melissa Ann Diaz, OTR/L

  • Occupational Therapist
  • Riverside, CA
  • NPI 1780968214
  NPD (past)
• Stephanie T. Gocha, OTR/L

  • Occupational Therapist
  • Corona, CA
  • NPI 1740431139
  NPD (past)
• Jacob Guevarra

  • Physical Therapy Assistant
  • Corona, CA
  • NPI 1831875129
  NPD (past)
• Mathu Nataki Hanson, PT, DPT, MBA

  • Physical Therapist
  • Corona, CA
  • NPI 1780866327
  NPD (past)
• Terri Hanson, MSN, FNP-C, FNP-BC

  • Family Nurse Practitioner
  • Eastvale, CA
  • NPI 1720777469
  NPD (past)
• Diana Lizeth Merino, DPT

  • Physical Therapist
  • Huntington Beach, CA
  • NPI 1437982022
  NPD (past)
• Nasjua Yvonne Palmer, PTA

  • Physical Therapy Assistant
  • Corona, CA
  • NPI 1669229365
  NPD (past)
• David Jireh Peig, OTR/L

  • Occupational Therapist
  • Corona, CA
  • NPI 1003513748
  NPD (past)
• Elizabeth Peyton

  • Physical Therapist
  • Menlo Park, CA
  • NPI 1386287258
  NPD (past)
• Kyra Denise Pineda Sabando, PT

  • Physical Therapist
  • Corona, CA
  • NPI 1114515137
  NPD (past)
• Norma Villegas

  • Speech-Language Pathologist
  • Corona, CA
  • NPI 1326643818
  NPD (past)

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1659545630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 HAVEN AVE",
            "address_2": "SUITE E298",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917016065",
            "telephone_number": "909-581-6400",
            "fax_number": "909-581-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10841 WHITE OAK AVE",
            "address_2": "SUITE 201",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303811",
            "telephone_number": "909-581-6400",
            "fax_number": "909-581-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN O. LAWRENCE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-21",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ODINNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-581-6400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A84093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Ainslee Kerr
• Tyler Kerr
• Lala Keshishian
• Ketterman Wellbeing Center
• Kelsey Keuning
• Key Essentials to Behavior Management, Corp
• Firhana Zahid Khairullah, DO
• Lidya Khalil, DDS
• Imran Khan, DPT
• Ismail Sohail Khan, DO

• Physical Medicine & Rehabilitation Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.