Lauren M Greenman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

57150 Issued in CA

Practice address

24255 PCH
Malibu, CA 90263-1247

Phone

(310) 506-4316

NPI assigned

Oct 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Commonwealth of Kentucky

  • Multi-Specialty Clinic/Center
  • Somerset, KY
  • NPI 1245657857
  NPD (past)
• Commonwealth of Kentucky

  • Psychiatric Hospital
  • Lexington, KY
  • NPI 1790816395
  NPD (past)

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1750831574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28909 OAKPATH DR",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913013327",
            "telephone_number": "859-321-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24255 PCH",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902631247",
            "telephone_number": "310-506-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENMAN",
        "first_name": "LAUREN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "TC542",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Joel Gould, PHARM.D
• Kristy Graham, FNP-BC
• Grasshopper House, LLC
• Sage Grazer
• Adam Dov Greenberg, L. AC.
• Christiana Dorian Grotlisch, LCSW
• Linda Marie Haack, PHD
• Evan Rhys Haines, PSYD
• Anthony John Hall, D.C.
• Kristy Lynn Hamilton, LCSW

• Physician Assistant in Malibu, CA
• Providers in Malibu, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.