Active NPI
Adrienne M Law
- Family Medicine Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102206618
- Practice address
- 3650 Joseph Siewick Dr Ste 101
Fairfax, VA 22033-1700 - Phone
- (703) 391-2020
- Fax
- (703) 391-1211
- NPI assigned
- Jul 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0116030980 | VA | |
| Family Medicine Physician | 207Q00000X | 0102206618 | VA | Primary |
Addresses
Primary practice location
3650 Joseph Siewick Dr Ste 101
Fairfax, VA 22033-1700
Mailing address
9142 Richmond Hwy Apt 447
Fort Belvoir, VA 22060-1355
Other practice location 1
9300 DeWitt Loop
Fort Belvoir, VA 22060-5285
Phone (612) 205-4328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0116030980 | Other | VA | VIRGINIA BOARD OF MEDICINE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Nova Southeastern College of Osteo Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Craven Rd
San Marcos, CA 92078-4201
Phone (619) 528-5000
4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116030980 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Physician Partners, LLC | Family Medicine | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients |
Locations
6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223
3650 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 391-2020
3650 Joseph Siewick Dr
Ste 101
Fairfax, VA 22033
Phone (703) 391-0900
Organizations & group practices 5
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.
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Health Maintenance Organization
- Los Angeles, CA
- NPI 1043242563
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Orthopaedic Surgery Physician
- Leesburg, VA
- NPI 1811204050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1699296459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9142 RICHMOND HWY APT 447",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220601355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 JOSEPH SIEWICK DR STE 101",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331700",
"telephone_number": "703-391-2020",
"fax_number": "703-391-1211"
}
],
"practiceLocations": [
{
"address_1": "9300 DeWitt Loop",
"address_purpose": "LOCATION",
"city": "Fort Belvoir",
"state": "VA",
"postal_code": "220605285",
"country_code": "US",
"telephone_number": "612-205-4328",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAW",
"first_name": "ADRIENNE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-03",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0116030980",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102206618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA BOARD OF MEDICINE",
"identifier": "0116030980",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "6041 Cadillac Ave",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900341702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.