Lauren N Swanson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA19817 Issued in CA

Practice address

1198 Pacific Coast Hwy
Suite I
Seal Beach, CA 90740-6251

Phone

(562) 799-7071

Fax

(562) 594-5627

NPI assigned

Jul 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: lauren.swanson.2@24289.direct.athenahealth.com

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1760647853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 PACIFIC COAST HWY",
            "address_2": "SUITE I",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406251",
            "telephone_number": "562-799-7071",
            "fax_number": "562-594-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 PACIFIC COAST HWY",
            "address_2": "SUITE I",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406251",
            "telephone_number": "562-799-7071",
            "fax_number": "562-594-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "LAUREN",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01391224",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven E. Gammer, M.D., Inc.
• Riley J Stuart, LMFT, LEP
• Randy Stuck
• Jennifer Lane Styzens, BCBA
• Mustafa I Suleiman, MD
• John Sykora
• Janice Lynn Vistro Tamayo, NP-C
• Sullyvan W Tang, M.D.
• Mitchell Todd Taubman, PH.D.
• Stephen E Teipe, PA-C

• Medical Physician Assistant in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.