Individual provider Active NPI

Mark Stephen Lamore

  • Health Educator
  • San Luis Obispo, CA
National Provider Identifier
1700099496
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
PO Box 15408
San Luis Obispo, CA 93406-5408
Phone
(805) 541-5144
NPI assigned
May 8, 2007
Reactivated
Feb 26, 2020
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

PO Box 15408
San Luis Obispo, CA 93406-5408

Mailing address

6065 Lazy Hill Rd
San Miguel, CA 93451-9026
Phone (805) 748-0610

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1700099496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 LAZY HILL RD",
            "city": "SAN MIGUEL",
            "state": "CA",
            "postal_code": "934519026",
            "telephone_number": "805-748-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 15408",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934065408",
            "telephone_number": "805-541-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMORE",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.