Jenny Lynn Lazarus, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A168579 Issued in CA

Practice address

130 W Sycamore St
Willows, CA 95988-2826

Phone

(530) 330-5222

NPI assigned

Jun 6, 2012

Last updated

Aug 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Docs Medical Group IncGroup PAC ID 9931112075, 12 clinicians

Last Frontier Healthcare DistrictGroup PAC ID 2466447412, 31 clinicians

Lake County Tribal Health Consortium IncGroup PAC ID 8729975545, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Modoc Medical Center Hospital, Alturas, CA, CCN 051330

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenny.lazarus@direct.hdmg.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Docs Medical Group Inc

  • Gastroenterology Physician
  • Redding, CA
  • NPI 1063457620
  Medicare reassignment Care Compare group NPD
• Last Frontier Healthcare District

  dba Modoc Medical Center

  • Critical Access Hospital
  • Alturas, CA
  • NPI 1487669032
  Medicare reassignment Care Compare group NPD
• Lazarus Healing Center, PC

  dba Uprooted

  • General Practice Physician
  • Stonyford, CA
  • NPI 1265386585
  Medicare reassignment NPD Authorized official
• Anaheim Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Anaheim, CA
  • NPI 1962680033
  Medicare reassignment NPD
• Glenn Medical Center, LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Willows, CA
  • NPI 1336187178

  General Practice

  Medicare reassignment NPD
• Lake County Tribal Health Consortium Inc.

  • Federally Qualified Health Center (FQHC)
  • Lakeport, CA
  • NPI 1881697381
  Care Compare group
• Anaheim Urgent Care, Inc.

  dba Santa Monica Urgent Care

  • Urgent Care Clinic/Center
  • Santa Monica, CA
  • NPI 1528773694
  NPD
• Glenn Medical Center, LLC

  dba Glenn Medical Rural Health Clinic

  • Rural Health Clinic/Center
  • Willows, CA
  • NPI 1255632790
  NPD
• Glenn Medical Center, LLC

  dba Family Care Center

  • Rural Health Clinic/Center
  • Willows, CA
  • NPI 1356388961
  NPD

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

• Last Frontier Healthcare District

  dba Modoc Medical Center

  • Critical Access Hospital
  • Alturas, CA
  • NPI 1487669032
  Care Compare affiliation
• Last Frontier Healthcare District

  dba Modoc Medical Center

  • Rural Health Clinic/Center
  • Alturas, CA
  • NPI 1487764064

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1902167901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "STONYFORD",
            "state": "CA",
            "postal_code": "959790159",
            "telephone_number": "916-678-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W SYCAMORE ST",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882826",
            "telephone_number": "530-330-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2380 Twin Lakes Dr",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481971491",
            "country_code": "US",
            "telephone_number": "530-383-3035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1133 W Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Willows",
            "state": "CA",
            "postal_code": "959882601",
            "country_code": "US",
            "telephone_number": "530-934-1831",
            "fax_number": "530-934-1862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4992 East Park Rd #159",
            "address_purpose": "LOCATION",
            "city": "Stonyford",
            "state": "CA",
            "postal_code": "95979",
            "country_code": "US",
            "telephone_number": "916-678-0351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZARUS",
        "first_name": "JENNY",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10043378",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301108934",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A168579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zsolt Horvath Kissevich, DMD
• Michell Danforth Knight, PA C
• Erika Elizabeth Krepelka, LCSW
• Lauren Nicole Kufer, MSOT OTR/L
• Justin Michael Lang, COTA
• Danielle Le, PTA
• Stanley Louie Lecorno, PHD
• Kevin P Lee, DDS
• Willie Yeng Lee
• Shauna K Leeds, PT, DPT

• General Practice Physician in Willows, CA
• Providers in Willows, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.