Jesse Lawrence Lanzon, DDS, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

A123328 Issued in CA

Practice address

2425 Bath St
Santa Barbara, CA 93105-4324

Phone

(805) 682-0933

NPI assigned

Apr 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 18, 2018 through Jun 18, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Channel Islands Oms Group

  dba Channel Island Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Santa Barbara, CA
  • NPI 1003764572
  NPD Authorized official
• Channel Islands Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Camarillo, CA
  • NPI 1598419723
  NPD (past) Authorized official
• Goleta Valley Cottage Hospital

  • Skilled Nursing Facility
  • Goleta, CA
  • NPI 1679587224
  NPD (past)
• Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
  • NPI 1649296807
  NPD (past)
• Santa Ynez Valley Cottage Hospital, Inc

  • General Acute Care Hospital
  • Solvang, CA
  • NPI 1952301863

  Oral & Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376784000000",
    "number": "1972723260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BATH ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054324",
            "telephone_number": "805-682-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 BATH ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054324",
            "telephone_number": "805-682-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZON",
        "first_name": "JESSE",
        "middle_name": "LAWRENCE",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2013-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A123328",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "56306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hewitt R Lang, M.D.
• Susan Hamilton Lang, MA MFT
• Devereaux Langdoc
• Danielle Terese Langston
• William G Lannan, DDS
• David Lapatka, M.D.
• Jaime Lapeyre, FNP-BC
• Jupiter Alberto Lara Castillo
• Julia Patricia Lara, PH.D.
• Michael Thomas Larkin

• Oral & Maxillofacial Surgery (D.M.D.) in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.