Organization Active NPI

Lawrence Osman MD PC

  • Clinic/Center
  • Northridge, CA
National Provider Identifier
1962978304
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LAWRENCE OSMAN MD PC
Practice address
18546 Roscoe Blvd Ste 306
Northridge, CA 91324-4669
Phone
(818) 885-0455
NPI assigned
Oct 23, 2018
Last updated
Oct 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Kendra Hughes, MS, MA, BS
Title
Office Manager
Phone
(818) 885-0455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

18546 Roscoe Blvd Ste 306
Northridge, CA 91324-4669

Mailing address

18546 Roscoe Blvd Ste 306
Northridge, CA 91324-4669
Phone (818) 885-0455

Other identifiers 6

IdentifierTypeStateIssuer
122000661OtherCAANTHEM BLUE CROSS OF CALIFORNIA
2366060926OtherANTHEM
2366060926OtherAETNA
2366060926OtherBLUE SHEILD
2366060926OtherCIGNA
2366060926OtherAARP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190114000519 CA Part B Supplier - Clinic/Group Practice 9133465164 Receives reassigned benefits from 1 practitioner
Practice locations: Northridge, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1003290Lawrence Osman MD18546 Roscoe Blvd, Ste 306, Northridge, CA 91324ComplianceApr 3, 2027

National Provider Directory

National Provider Directory

Locations

18546 Roscoe Blvd
Ste 306
Northridge, CA 91324
Phone (818) 885-0455

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1962978304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18546 ROSCOE BLVD STE 306",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244669",
            "telephone_number": "818-885-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18546 ROSCOE BLVD STE 306",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244669",
            "telephone_number": "818-885-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE OSMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-885-0455",
        "authorized_official_credential": "MS, MA, BS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS OF CALIFORNIA",
            "identifier": "122000661",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "2366060926",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2366060926",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD",
            "identifier": "2366060926",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2366060926",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARP",
            "identifier": "2366060926",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.