Individual provider Active NPI

Mark P Lauron, M.D.

  • Internal Medicine Physician
  • Apple Valley, CA
National Provider Identifier
1932179595
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00A618920 Issued in CA
Practice address
16024 Kamana Road
Apple Valley, CA 92307
Phone
(760) 242-3644
Fax
(760) 242-4414
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A61892 CA
Internal Medicine Physician 207R00000X 00A618920 CA Primary

Addresses

Primary practice location

16024 Kamana Road
Apple Valley, CA 92307

Mailing address

16024 Kamana Road
Apple Valley, CA 92307
Phone (760) 242-3644

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
I20100928000994 CA Practitioner - Internal Medicine 4183740012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16024 Kamana Rd
Apple Valley, CA 92307-1308
Phone (760) 242-8887

Hospital & facility affiliations

  • Valde Home Health, Inc Home health agency, Victorville, CA, CCN 053161
  • Bellview Hospice Care, Inc Hospice, San Bernardino, CA, CCN A01666

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00A618920CAMDInternal Medicine Physician
A61892CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Patrick Louron MD Inc Internal Medicine CurrentSince Jul 1, 2010 Accepting new patients
St. Mary Medical Center Past Accepting new patients

Locations

16024 Kamana Rd
Apple Valley, CA 92307
Phone (760) 242-3644

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFBDAA/Endpoint/BFBDAA

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.

Hospital & facility affiliations 2

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1932179595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16024 KAMANA ROAD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-242-3644",
            "fax_number": "760-242-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16024 KAMANA ROAD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-242-3644",
            "fax_number": "760-242-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURON",
        "first_name": "MARK",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61892",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00A618920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.