Michael Lewis Larson, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15632 Issued in CA

Practice address

42575 Washington St
Palm Desert, CA 92211-8850

Phone

(760) 360-0333

Fax

(760) 360-1053

NPI assigned

Jul 17, 2006

Last updated

Jul 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michael.larson.p64@direct.mydohc.nextgenshare.com

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.

• Will Family Medical Group, a Professional Corporation

  • Family Medicine Physician
  • Palm Desert, CA
  • NPI 1356875157
  Medicare reassignment
• Star Orthopaedics, Inc.

  • Orthopaedic Surgery Physician
  • La Quinta, CA
  • NPI 1831364975
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1710905195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42575 WASHINGTON ST",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922118850",
            "telephone_number": "760-360-0333",
            "fax_number": "760-360-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42575 WASHINGTON ST",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922118850",
            "telephone_number": "760-360-0333",
            "fax_number": "760-360-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "MICHAEL",
        "middle_name": "LEWIS",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Lalehzarian, DPM
• Carter A Lane, DDS, MS
• Robert Lawrence Langford, PHYSICAL THERAPIST
• Vanessa Lara-Diaz
• Tristan Alec Lares-Salinas
• Laser Eye Care of California, LLC (TLC Laser Eye Centers Palm Desert)
• Laser Medspa, Inc. (Laser Medspa)
• Laura R Morgan MD Inc
• Sally Rochie Lawes, LPC
• Lawrence C Watson OD a Professional Optometric Corp.

• Physician Assistant in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.