Organization Active NPI

Lawrence L. Chao, MD a Professional Corp.

  • Primary Care Clinic/Center
  • San Francisco, CA
National Provider Identifier
1922422526
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A55511 Issued in CA
Legal business name
LAWRENCE L. CHAO, MD A PROFESSIONAL CORP.
Practice address
2645 Ocean Ave
Suite 207
San Francisco, CA 94132-1633
Phone
(415) 333-3302
Fax
(415) 692-8688
NPI assigned
Feb 18, 2014
Organization subpart
Yes
Parent organization
LAWRENCE L. CHAO, MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Dr. Lawrence L Chao, M.D.NPI 1700896370
Title
President
Phone
(415) 333-3302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A55511 CA Primary

Addresses

Primary practice location

2645 Ocean Ave
Suite 207
San Francisco, CA 94132-1633

Mailing address

2645 Ocean Ave
Suite 207
San Francisco, CA 94132-1633
Phone (415) 333-3302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140904000453 CA Part B Supplier - Clinic/Group Practice 8426276452 Receives reassigned benefits from 2 practitioners
Practice locations: Burlingame, CA; San Francisco, CA

National Provider Directory

National Provider Directory
Tax ID family
Lawrence L Chao MD a Professional Corp2 organizations share this tax ID, including this one
Part of
Lawrence L Chao MD a Professional Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1922422526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 OCEAN AVE",
            "address_2": "SUITE 207",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321633",
            "telephone_number": "415-333-3302",
            "fax_number": "415-692-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 OCEAN AVE",
            "address_2": "SUITE 207",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321633",
            "telephone_number": "415-333-3302",
            "fax_number": "415-692-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE L. CHAO, MD A PROFESSIONAL CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAWRENCE L. CHAO, MD",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "CHAO",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-333-3302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A55511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.