NPIMap

Individual provider Active NPI

Lauren Dwinell, M.D.

  • Pediatrics Physician
  • San Clemente, CA
National Provider Identifier
1679671358
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A68707 Issued in CA
Practice address
1300 Avenida Vista Hermosa
Suite 250
San Clemente, CA 92673-6315
Phone
(949) 429-7700
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A68707 CA Primary

Addresses

Primary practice location

1300 Avenida Vista Hermosa
Suite 250
San Clemente, CA 92673-6315

Mailing address

23321 El Toro Rd
Suites F&G
Lake Forest, CA 92630-4825
Phone (949) 770-0513

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A68707CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital at Mission Past Accepting new patients
Rady Children'S Hospital San Diego Past Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients
Pediatric Subspecialty Faculty, Inc. Pediatrics Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Southern Orange County Pediatric Associates, Inc. Pediatrics Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Palomar Health Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1679671358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23321 EL TORO RD",
            "address_2": "SUITES F&G",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304825",
            "telephone_number": "949-770-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 AVENIDA VISTA HERMOSA",
            "address_2": "SUITE 250",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736315",
            "telephone_number": "949-429-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWINELL",
        "first_name": "LAUREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A68707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.