Individual provider Active NPI

Lauren Scandura, PA

  • Physician Assistant
  • Los Alamos, NM
National Provider Identifier
1871265090
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2023-0214 Issued in NM
Practice address
3917 West Rd Ste 200
Los Alamos, NM 87544-5301
Phone
(505) 661-4147
Fax
(866) 913-0013
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA2023-0214 NM Primary
Physician Assistant 363A00000X 66726 CA

Addresses

Primary practice location

3917 West Rd Ste 200
Los Alamos, NM 87544-5301

Mailing address

1500 N Renaissance Blvd NE Ste C
Albuquerque, NM 87107-7002
Phone (505) 266-5565

Other practice location 1

1000 S Eliseo Dr Ste 103
Greenbrae, CA 94904-2150
Phone (415) 461-9770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20230828001159 NM Practitioner - Physician Assistant 3274996095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Sinus Institute PLLCGroup PAC ID 9234284407, 36 clinicians

Practice addresses (Care Compare)

3917 W Rd
250 New Mexico Sinus Institute
Los Alamos, NM 87544-5302
Phone (505) 661-4147

435 Saint Michaels Dr
Suite A401
Santa Fe, NM 87505-7672
Phone (855) 817-4687

721 E Holly St
Suite a
Deming, NM 88030-5245
Phone (575) 449-8949

Hospital & facility affiliations

  • Los Alamos Medical Center Hospital, Los Alamos, NM, CCN 320033
  • Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004
  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

Merit-based Incentive Payment System (MIPS)

Final score
82.88 of 100Reported as group
Quality
73.96
Promoting interoperability
93
Improvement activities
40
Cost
74.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2023-0214NMMDPhysician Assistant

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1871265090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N RENAISSANCE BLVD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871077002",
            "telephone_number": "505-266-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WEST RD STE 200",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875445301",
            "telephone_number": "505-661-4147",
            "fax_number": "866-913-0013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 S Eliseo Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Greenbrae",
            "state": "CA",
            "postal_code": "949042150",
            "country_code": "US",
            "telephone_number": "415-461-9770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCANDURA",
        "first_name": "LAUREN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2023-0214",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "66726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

Verify at the official NPI Registry.