Individual provider Active NPI

Lauryn A Cooper, PA-C

  • Physician Assistant
  • Thousand Oaks, CA
National Provider Identifier
1972146090
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
57728 Issued in CA
Practice address
375 Rolling Oaks Dr Ste 210
Thousand Oaks, CA 91361-1028
Phone
(054) 977-0158
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 57728 CA Primary

Addresses

Primary practice location

375 Rolling Oaks Dr Ste 210
Thousand Oaks, CA 91361-1028

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

3605 Alamo St Ste 200
Simi Valley, CA 93063-2186
Phone (805) 578-8550

Other practice location 2

19950 Rinaldi St Ste 100
Northridge, CA 91326-4141
Phone (818) 363-2273

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507002410 CA Practitioner - Physician Assistant 8921439977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 0547490534, 135 clinicians

Practice addresses (Care Compare)

100 UCLA Medical PLZ
Suite 460
Los Angeles, CA 90024-7000
Phone (310) 443-8999

2655 1St St
Suite 300
Simi Valley, CA 93065-1580
Phone (805) 578-8550

30870 Russell Ranch Rd
Suite 330
Westlake Village, CA 91362-7347
Phone (805) 497-7015

Hospital & facility affiliations

  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236

Merit-based Incentive Payment System (MIPS)

Final score
81.42 of 100Reported as group
Quality
68.57
Promoting interoperability
100
Improvement activities
40
Cost
69.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Physician Assistant CurrentSince Jul 1, 2021 Accepting new patients
Regents of the University of California CurrentSince Jul 1, 2021 Accepting new patients
Regents of the University of California Past Accepting new patients
Arroyo Grande Surgical Institute, LLC PastSince Jul 17, 2022 Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

2400 Bahamas Dr
Ste 200
Bakersfield, CA 93309
Phone (661) 328-5565

5201 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 328-5565

100 UCLA Medical Plz
Ste 460
Los Angeles, CA 90024
Phone (310) 443-8999

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

100 Medical Plz
Ste 460
Los Angeles, CA 90095
Phone (310) 825-6481

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

19950 Rinaldi St
Ste 100
Porter Ranch, CA 91326
Phone (818) 363-2273

3605 Alamo St
Ste 200
Simi Valley, CA 93063
Phone (805) 261-4671

2655 1st St
Ste 300
Simi Valley, CA 93065
Phone (805) 578-8550

375 Rolling Oaks Dr
Ste 210
Thousand Oaks, CA 91361
Phone (805) 495-1073

Interoperability endpoints

  • Direct secure messaging: lcooper908315@direct.uclahealth.org

Organizations & group practices 6

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 3

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": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1972146090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 ROLLING OAKS DR STE 210",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611028",
            "telephone_number": "054-977-0158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3605 Alamo St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930632186",
            "country_code": "US",
            "telephone_number": "805-578-8550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19950 Rinaldi St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913264141",
            "country_code": "US",
            "telephone_number": "818-363-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "LAURYN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.