Active NPI
Laurence H Lotz, MD
- Family Medicine Physician
- San Luis Obispo, CA
National Provider Identifier
1841292182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C38426
- Practice address
- 1250 Peach St
Ste a
San Luis Obispo, CA 93401-2871 - Phone
- (805) 596-0900
- Fax
- (805) 596-0945
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C38426 | CA | Primary |
Addresses
Primary practice location
1250 Peach St
Ste a
San Luis Obispo, CA 93401-2871
Mailing address
1250 Peach St
Ste a
San Luis Obispo, CA 93401-2871
Phone (805) 596-0900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C384260 | Medicaid | CA | |
| 00C384260 | Other | CA | BLUE SHIELD OF CA PIN |
| 4122978 | Other | AETNA PIN | |
| 724593 | Other | FIRST HEALTH PIN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38426 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Modesto, CA
- NPI 1912264862
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1841292182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 PEACH ST",
"address_2": "STE A",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012871",
"telephone_number": "805-596-0900",
"fax_number": "805-596-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 PEACH ST",
"address_2": "STE A",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012871",
"telephone_number": "805-596-0900",
"fax_number": "805-596-0945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTZ",
"first_name": "LAURENCE",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C38426",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C384260",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA PIN",
"identifier": "00C384260",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "4122978",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PIN",
"identifier": "724593",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.