Individual provider Active NPI

Lynn C Granlund, M. D.

  • Internal Medicine Physician
  • Laguna Hills, CA
National Provider Identifier
1902936552
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C50060 Issued in CA
Practice address
24411 Health Center Drive
Suite 460
Laguna Hills, CA 92653-3687
Phone
(949) 373-7799
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C50060 CA Primary

Addresses

Primary practice location

24411 Health Center Drive
Suite 460
Laguna Hills, CA 92653-3687

Mailing address

24411 Health Center Drive
Suite 460
Laguna Hills, CA 92653-3687
Phone (949) 373-7799

Other identifiers 1

IdentifierTypeStateIssuer
C50060P47MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101019000379 CA Practitioner - Internal Medicine 8426015728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saddleback Medical Group Inc CurrentSince Jan 1, 2013 Accepting new patients
South County Medical Associates Inc Internal Medicine PastSince Dec 18, 2004 Accepting new patients

Locations

24411 Health Center Dr
Ste 460
Laguna Hills, CA 92653
Phone (949) 373-7799

24221 Calle de la Louisa
Ste 200
Laguna Hills, CA 92653
Phone (949) 465-8155

24221 Calle de la Louisa
Ste 400
Laguna Hills, CA 92653
Phone (949) 465-8155

Interoperability endpoints

  • Direct secure messaging: lynn.granlund.p15@direct.monarchhealthcare.nextgenshare.com

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1902936552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DRIVE",
            "address_2": "SUITE 460",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533687",
            "telephone_number": "949-373-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DRIVE",
            "address_2": "SUITE 460",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533687",
            "telephone_number": "949-373-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANLUND",
        "first_name": "LYNN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C50060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C50060P47",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.