Organization Active NPI

Lawrence S Paikoff, MD

  • Primary Care Clinic/Center
  • Davis, CA
National Provider Identifier
1700062916
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G61673 Issued in CA
Legal business name
LAWRENCE S PAIKOFF, MD
Practice address
1756 Picasso Ave
Ste. #E
Davis, CA 95618-0549
Phone
(530) 750-3500
Fax
(530) 750-3045
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Authorized official

Name
Ms. Yolanda Ramos
Title
Office Manager
Phone
(530) 750-3500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G61673 CA
Primary Care Clinic/Center 261QP2300X G61673 CA Primary

Addresses

Primary practice location

1756 Picasso Ave
Ste. #E
Davis, CA 95618-0549

Mailing address

1756 Picasso Ave
Ste. #E
Davis, CA 95618-0549
Phone (530) 750-3500

National Provider Directory

National Provider Directory

Locations

1756 Picasso Ave
Davis, CA 95618
Phone (530) 750-3500

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1700062916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 PICASSO AVE",
            "address_2": "STE. #E",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956180549",
            "telephone_number": "530-750-3500",
            "fax_number": "530-750-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 PICASSO AVE",
            "address_2": "STE. #E",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956180549",
            "telephone_number": "530-750-3500",
            "fax_number": "530-750-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE S PAIKOFF, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-750-3500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G61673",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G61673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.