Individual provider Active NPI

Lawrence Anthony Senffner, M.D.

  • Internal Medicine Physician
  • Arcata, CA
National Provider Identifier
1730120676
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G17651 Issued in CA
Practice address
3798 Janes Rd
Suite 20
Arcata, CA 95521-4753
Phone
(707) 822-2432
Fax
(707) 822-6301
NPI assigned
Jun 10, 2006
Last updated
Dec 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G17651 CA Primary

Addresses

Primary practice location

3798 Janes Rd
Suite 20
Arcata, CA 95521-4753

Mailing address

3798 Janes Rd
Suite 20
Arcata, CA 95521-4753
Phone (707) 822-2432

Other identifiers 1

IdentifierTypeStateIssuer
00G176510MedicaidCA

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
I20061005000410 CA Practitioner - Internal Medicine 2961407762 Reassigns benefits to 1 organization
Practice locations: Arcata, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Pacific Cardiology MedicalGroup PAC ID 8426113341, 21 clinicians

Practice addresses (Care Compare)

3800 Janes Rd
Arcata, CA 95521-4742
Phone 70782272203358

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17651CAMDAcupuncturist
G17651CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Pacific Cardiology Medical Internal Medicine CurrentSince Apr 1, 2009 Accepting new patients
American Hospital Management Corporation PastSince Nov 12, 2007 Accepting new patients

Locations

3798 Janes Rd
Arcata, CA 95521
Phone (707) 443-8335

3798 Janes Rd
Ste 20
Arcata, CA 95521
Phone (707) 822-4894

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mad River Community Hospital Swing BedArcata, CA, CCN 05U028 Hospital Corporate Director Nov 12, 2002
Mad River Community HospitalArcata, CA, CCN 050028 Hospital Corporate Director Nov 12, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1730120676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3798 JANES RD",
            "address_2": "SUITE 20",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214753",
            "telephone_number": "707-822-2432",
            "fax_number": "707-822-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 JANES RD",
            "address_2": "SUITE 20",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214753",
            "telephone_number": "707-822-2432",
            "fax_number": "707-822-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENFFNER",
        "first_name": "LAWRENCE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G17651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G176510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

Verify at the official NPI Registry.