Active NPI
Laurence J Brown, RN, NP
- Family Nurse Practitioner
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP17777
- Practice address
- 1300 N Dutton Ave
Santa Rosa, CA 95401-7112 - Phone
- (707) 459-6861
- NPI assigned
- Apr 15, 2008
- Last updated
- Jul 25, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP17777 | CA | Primary |
Addresses
Primary practice location
1300 N Dutton Ave
Santa Rosa, CA 95401-7112
Mailing address
3569 Round Barn Cir # Zc3300
Santa Rosa, CA 95403-5781
Phone (707) 303-3600
Other practice location 1
101 The City Dr S
Provider Relations- ZC 3300
Orange, CA 92868-3201
Phone (714) 456-2986
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3569 Round Barn Cir
Santa Rosa, CA 95403-5781
Phone (707) 303-3600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17777 | CA | MD | Adult Development & Aging Psychologist |
| NP17777 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic Medical Group of Orange County Inc | Family | Current | Accepting new patients |
| Santa Rosa Community Health Centers | Current | Accepting new patients | |
| Santa Rosa Community Health Centers | Current | Accepting new patients | |
| Santa Rosa Community Health Centers | Current | Accepting new patients |
Locations
2456 S Grove Ave
Ontario, CA 91761
Phone (909) 947-9390
1300 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 303-3395
3569 Round Barn Cir
Santa Rosa, CA 95403
3569 Round Barn Cir
#3300
Santa Rosa, CA 95403
921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473
33205 US Highway 79
Temecula, CA 92592
Phone 9513033164 ext. 8221
Interoperability endpoints
- lbrown627561@direct.ochin.org
Organizations & group practices 4
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.
-
dba Vista Campus
- Federally Qualified Health Center (FQHC)
- Santa Rosa, CA
- NPI 1578631172
-
- Nurse Practitioner
- Irvine, CA
- NPI 1104013879
Family
-
dba Caritas Campus
- Federally Qualified Health Center (FQHC)
- Santa Rosa, CA
- NPI 1467180430
-
- Federally Qualified Health Center (FQHC)
- Santa Rosa, CA
- NPI 1780195255
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bridge Home Health
- Home Health Agency
- Petaluma, CA
- NPI 1538659768
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
dba Sutter Care at Home
- Home Health Agency
- Santa Rosa, CA
- NPI 1205865870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1700050200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3569 ROUND BARN CIR # ZC3300",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954035781",
"telephone_number": "707-303-3600",
"fax_number": "707-303-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N DUTTON AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954017112",
"telephone_number": "707-459-6861"
}
],
"practiceLocations": [
{
"address_1": "101 The City Dr S",
"address_2": "PROVIDER RELATIONS- ZC 3300",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928683201",
"country_code": "US",
"telephone_number": "714-456-2986",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "LAURENCE",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "RN, NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-15",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP17777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.