Individual provider Active NPI

George Thomas Lafortune

  • Specialist
  • Whittier, CA
National Provider Identifier
1811503162
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L9652 Issued in CA
Practice address
7927 Painter Ave Ste 200
Whittier, CA 90602-2480
Phone
(562) 682-6556
NPI assigned
Sep 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L9652 CA Primary

Addresses

Primary practice location

7927 Painter Ave Ste 200
Whittier, CA 90602-2480

Mailing address

PO Box 30310
Long Beach, CA 90853-0310
Phone (562) 682-6556

Other practice location 1

6700 Indiana Ave Ste 252
Riverside, CA 92506-4264
Phone (951) 530-8257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L9652CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Transgender Health and Wellness Center Specialist PastSince Sep 27, 2020 Accepting new patients
Transgender Health and Wellness Center Specialist PastSince Aug 2, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1811503162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30310",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908530310",
            "telephone_number": "562-682-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7927 PAINTER AVE STE 200",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022480",
            "telephone_number": "562-682-6556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 Indiana Ave Ste 252",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925064264",
            "country_code": "US",
            "telephone_number": "951-530-8257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFORTUNE",
        "first_name": "GEORGE",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "L9652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.