Pallavi Mangal Lall, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95031917 Issued in CA

Practice address

714 Shoemaker Dr
Livermore, CA 94551-6900

Phone

(347) 893-8857

NPI assigned

Mar 1, 2025

Last updated

Mar 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fremont Pain Treamtment Center

  • Specialist
  • Fremont, CA
  • NPI 1083950380
  Medicare reassignment NPD
• Empire Anesthesia Inc

  • Anesthesiology Physician
  • San Ramon, CA
  • NPI 1174792261
  NPD

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

{
    "created_epoch": "1740787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1720885320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 SHOEMAKER DR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945516900",
            "telephone_number": "347-893-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 SHOEMAKER DR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945516900",
            "telephone_number": "347-893-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALL",
        "first_name": "PALLAVI",
        "middle_name": "MANGAL",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-01",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Jolla Cove Holdings LLC (Milan Villa Senior Living)
• Kristen La
• Bonnie Lai
• Jennifer Chia Fang Lai, M.D.
• Amiteshni Lal
• Nghia Lam, PHARMD
• Lamar Regional Health Center
• Megan K Landavazo, RN
• Geoffrey W Lane, PH.D.
• Jamie Lankford

• Family Nurse Practitioner in Livermore, CA
• Providers in Livermore, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2025; 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.

Verify at the official NPI Registry.