Individual provider Active NPI

Lauren Snider, PA-C

  • Physician Assistant
  • Redwood City, CA
National Provider Identifier
1770090797
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
55264 Issued in CA
Practice address
2907 El Camino Real
Redwood City, CA 94061-4003
Phone
(650) 503-7810
NPI assigned
Dec 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 55264 CA Primary

Addresses

Primary practice location

2907 El Camino Real
Redwood City, CA 94061-4003

Mailing address

2907 El Camino Real
Redwood City, CA 94061-4003
Phone (650) 503-7810

Other practice location 1

2900 Whipple Ave Ste 130
Redwood City, CA 94062-2844
Phone (650) 362-8250

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190313000546 CA Practitioner - Physician Assistant 6800136755 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
55264CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc. CurrentSince Jan 2, 2019 Accepting new patients
Planned Parenthood Mar Monte Inc. CurrentSince Jan 2, 2019 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc. CurrentSince Feb 2, 2020 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc Past Accepting new patients

Locations

2500 California St
Ste A
Mountain View, CA 94040
Phone (408) 795-3600

2907 El Camino Real
Redwood City, CA 94061
Phone (650) 235-7940

1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526

625 Hilby Ave
Seaside, CA 93955
Phone (831) 394-1691

430 N Palora Ave
Ste G
Yuba City, CA 95991
Phone (530) 674-2603

Interoperability endpoints

  • Direct secure messaging: lauren.sniderpa.p1@direct.ppmarmonte.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1514592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1770090797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 EL CAMINO REAL",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940614003",
            "telephone_number": "650-503-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 EL CAMINO REAL",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940614003",
            "telephone_number": "650-503-7810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Whipple Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940622844",
            "country_code": "US",
            "telephone_number": "650-362-8250",
            "fax_number": "650-362-9440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-30",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.