Individual provider Active NPI

John I Lauridsen, M.D.

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1730114166
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A26222 Issued in CA
Practice address
500 S Anaheim Hills Rd
Suite 230
Anaheim, CA 92807-4780
Phone
(714) 974-2820
Fax
(714) 974-1539
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X A26222 CA
Internal Medicine Physician 207R00000X A26222 CA Primary

Addresses

Primary practice location

500 S Anaheim Hills Rd
Suite 230
Anaheim, CA 92807-4780

Mailing address

500 S Anaheim Hills Rd
Suite 230
Anaheim, CA 92807-4780
Phone (714) 974-2820

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041217000684 CA Practitioner - Internal MedicinePractitioner - Allergy/Immunology 2264499524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Allergy/Immunology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary and Multi-Specialty Clinics of AnaheimGroup PAC ID 9638136096, 8 clinicians

Practice addresses (Care Compare)

500 S Anaheim Hills Rd
Suite 230
Anaheim, CA 92807-4760
Phone (714) 974-2820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Primary and Multi Specialty Clinics of Anaheim Inc CurrentSince Apr 1, 2004 Accepting new patients
Primary and Multi Specialty Clinics of Anaheim Inc Internal Medicine Current Accepting new patients
Primary and Multi Specialty Clinics of Anaheim Inc Internal Medicine CurrentSince Apr 1, 2004 Accepting new patients
Amg, a Professional Medical Corporation Internal Medicine CurrentSince Aug 22, 2025 Accepting new patients
Metropolitan Ipa Current Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients

Locations

925 S Garfield Ave
Alhambra, CA 91801
Phone (626) 300-8388

710 N Euclid St
Ste 101
Anaheim, CA 92801
Phone (714) 517-2000

500 S Anaheim Hills Rd
Ste 230
Anaheim, CA 92807
Phone (714) 283-8523

1303 N Euclid St
Anaheim, CA 92801
Phone (714) 778-3838

710 N Euclid St
Ste 400
Anaheim, CA 92801
Phone (714) 517-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: johnlauridsen@ngmai.allscriptsdirect.net

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1730114166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "SUITE 230",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074780",
            "telephone_number": "714-974-2820",
            "fax_number": "714-974-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "SUITE 230",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074780",
            "telephone_number": "714-974-2820",
            "fax_number": "714-974-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURIDSEN",
        "first_name": "JOHN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "A26222",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A26222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.