Michael J. Lazar, Jr., M.D., Professional Medical Corporation

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

MICHAEL J. LAZAR, JR., M.D., PROFESSIONAL MEDICAL CORPORATION

Practice address

1140 Sonoma Ave
Suite 1a
Santa Rosa, CA 95405-4817

Phone

(707) 546-5553

Fax

(707) 546-0725

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Lazar, M.D.NPI 1376505180

Title

President

Phone

(707) 546-5553

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J Lazar Jr., MD

  • Urology Physician
  • Santa Rosa, CA
  • NPI 1376505180
  NPD (past) Authorized official

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912910811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 SONOMA AVE",
            "address_2": "SUITE 1A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054817",
            "telephone_number": "707-546-5553",
            "fax_number": "707-546-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 SONOMA AVE",
            "address_2": "SUITE 1A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054817",
            "telephone_number": "707-546-5553",
            "fax_number": "707-546-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. LAZAR, JR., M.D., PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-546-5553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C409580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roy D. Meyer, MD
• Nannette L. Meyers, MD
• Molly Meza-Trejo
• Michael a Mundell, MD, Professional Corporation
• Michael G Ridgeway DC Inc
• Michael Ridgeway Chiropractic Inc
• Dana Shelley Michaels, N.D.
• Mauricio Schabes Michaels, M.D.
• Sophia Michaels
• Brandon Michaud

• Urology Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Urology Physician in California

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