Active NPI
Lawrence H. Newman, M.D.
- General Practice Physician
- Pismo Beach, CA
National Provider Identifier
1700869799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G29852
- Practice address
- 877 Oak Park Blvd
Pismo Beach, CA 93449-3292 - Phone
- (805) 474-8450
- Fax
- (805) 474-8454
- NPI assigned
- Nov 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G29852 | CA | |
| General Practice Physician | 208D00000X | G29852 | CA | Primary |
Addresses
Primary practice location
877 Oak Park Blvd
Pismo Beach, CA 93449-3292
Mailing address
504 Plaza Dr
Santa Maria, CA 93454-6917
Phone (805) 739-3474
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G6280200 | Other | CA | BLUE SHIELD |
| G29852 | Other | AL | BLUE CROSS |
| 7383518 | Other | AETNA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29852 | CA | MD | Clinical Social Worker |
| G29852 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Central Coast Health Centers | Past | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients | |
| Central Coast Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Templeton, CA
- NPI 1972535557
-
- Community Health Clinic/Center
- Santa Maria, CA
- NPI 1063496651
-
- Community Health Clinic/Center
- Bakersfield, CA
- NPI 1720752355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1700869799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 PLAZA DR",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934546917",
"telephone_number": "805-739-3474",
"fax_number": "805-346-3548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 OAK PARK BLVD",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934493292",
"telephone_number": "805-474-8450",
"fax_number": "805-474-8454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "LAWRENCE",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G29852",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G29852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G6280200",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "G29852",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7383518",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pismo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.