Individual provider Active NPI

Lauren Pike, MD

  • Emergency Medicine Physician
  • Malibu, CA
National Provider Identifier
1669882460
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A142864 Issued in CA
Practice address
23656 Pacific Coast Hwy
Malibu, CA 90265-4826
Phone
(310) 456-7551
Fax
(310) 456-1081
NPI assigned
May 1, 2014
Last updated
Mar 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A142864 CA Primary

Addresses

Primary practice location

23656 Pacific Coast Hwy
Malibu, CA 90265-4826

Mailing address

23941 De Ville Way
Malibu, CA 90265

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
I20190621002538 CA Practitioner - Emergency MedicinePractitioner - Family Practice 6800120031 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A142864CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colony Care Partners Emergency Medicine CurrentSince May 4, 2019 Accepting new patients
1.Jill Furgurson, M.D., Inc. Past Accepting new patients

Locations

23656 Pacific Coast Hwy
Malibu, CA 90265
Phone (310) 456-7551

Interoperability endpoints

  • Direct secure messaging: lauren.pike.1@22629.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1669882460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23941 DE VILLE WAY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "90265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23656 PACIFIC COAST HWY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654826",
            "telephone_number": "310-456-7551",
            "fax_number": "310-456-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "LAUREN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A142864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malibu, CA

Sources for this page

Verify at the official NPI Registry.