Lourdes Lazatin, M.D.

Primary specialty

ContractorTaxonomy code 171W00000X

License

A32947 Issued in CA

Practice address

451 W Gonzales Rd
Suite 260
Oxnard, CA 93036-9004

Phone

(805) 983-3557

Fax

(805) 983-2337

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lourdes.trazolazatin.p1@direct.lakeside.nextgenshare.com

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.

• Clinicas del Camino Real Inc

  dba Clinicas del Camino Real, Inc., Ventura

  • Federally Qualified Health Center (FQHC)
  • Ventura, CA
  • NPI 1679631907
  Medicare reassignment NPD
• Clinicas del Camino Real Inc

  dba Clinicas del Camino Real Inc Santa Paula

  • Federally Qualified Health Center (FQHC)
  • Santa Paula, CA
  • NPI 1023234465
  NPD
• Clinicas del Camino Real Inc

  dba Clinicas del Camino Real Inc Roberto S Juarez

  • Community Health Clinic/Center
  • Oxnard, CA
  • NPI 1235866138
  NPD

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942424288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 W GONZALES RD",
            "address_2": "SUITE 260",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930369004",
            "telephone_number": "805-983-3557",
            "fax_number": "805-983-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W GONZALES RD",
            "address_2": "SUITE 260",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930369004",
            "telephone_number": "805-983-3557",
            "fax_number": "805-983-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZATIN",
        "first_name": "LOURDES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "A32947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A32947",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauri M. Spero, Crna, Inc.
• Alan Lavian, D.D.S
• Michelle L Lawrence-Smith
• Larry Charles Lawrence, M.D.
• Rosa Maria Lazarovits, LMFT
• Holly Le-Wong
• David M Le, PHARM D
• Kelly Le, PHARMD
• Lauren N Le, D.P.M.
• Phuongloan Le, PHARM.D

• Contractor in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.