Active NPI
Lawrence S Maldonado, M.D.
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1962432328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G464700
- Practice address
- 8700 Beverly Blvd.
Los Angeles, CA 90048-1865 - Phone
- (310) 423-4863
- Fax
- (310) 423-0436
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G464700 | CA | Primary |
Addresses
Primary practice location
8700 Beverly Blvd.
Los Angeles, CA 90048-1865
Mailing address
PO Box 512717
Los Angeles, CA 90051-0717
Phone (310) 423-4683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46470 | CA | MD | Marriage & Family Therapist |
| G464700 | CA | MD | Internal Medicine Physician |
Interoperability endpoints
- lmaldonado103221@direct.cshs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398988800000",
"number": "1962432328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 512717",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900510717",
"telephone_number": "310-423-4683",
"fax_number": "310-423-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 BEVERLY BLVD.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900481865",
"telephone_number": "310-423-4863",
"fax_number": "310-423-0436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "LAWRENCE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2014-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G464700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.