Individual provider Active NPI

Stephanie Lauw, MD

  • Emergency Medicine Physician
  • Whittier, CA
National Provider Identifier
1992187959
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A146034 Issued in CA
Practice address
12401 Washington Blvd
Whittier, CA 90602-1006
Phone
(562) 698-0811
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A146034 CA Primary

Addresses

Primary practice location

12401 Washington Blvd
Whittier, CA 90602-1006

Mailing address

14475 Viva Dr
Eastvale, CA 92880-1071
Phone (909) 896-4204

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170822003790 CA Practitioner - Emergency Medicine 9032481270 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
146034CAMDMarriage & Family Therapist
A146034CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intercommunity Emergency Medical Group Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Valley Presbyterian Emergency Medical Associates Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Providence Facey Medical Foundation Current Accepting new patients
Providence Facey Medical Foundation CurrentSince Apr 9, 2022 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 18, 2022 Accepting new patients
Providence Facey Medical Foundation CurrentSince Apr 9, 2022 Accepting new patients

Locations (25 of 40)

239 S La Cienega Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 360-0960

26777 Agoura Rd
Ste B4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

359 Carmen Dr
Camarillo, CA 93010
Phone (805) 914-5592

11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000

25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111

7211 Warner Ave
Huntington Beach, CA 92647
Phone (714) 462-4553

4143 Campus Dr
Ste C200
Irvine, CA 92612
Phone (949) 471-0002

475 Foothill Blvd
Ste K
La Canada, CA 91011
Phone (818) 528-6377

5101 Lakewood Blvd
Lakewood, CA 90712
Phone (562) 800-3883

File 50670
Los Angeles, CA 90074

8985 Venice Blvd
Los Angeles, CA 90034
Phone (310) 474-2152

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

4121 Santa Monica Blvd
Ste 106
Los Angeles, CA 90029
Phone (213) 335-7355

2090 Westwood Blvd
Los Angeles, CA 90025
Phone (213) 813-4070

8000 W Sunset Blvd
Ste C110
Los Angeles, CA 90046
Phone (213) 412-0400

3215 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (424) 295-0540

4730 Lincoln Blvd
Marina del Rey, CA 90292
Phone (424) 352-0371

18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600

19346 Nordhoff St
Northridge, CA 91324
Phone (818) 727-2024

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

3160 E Del Mar Blvd
Ste 110
Pasadena, CA 91107
Phone (626) 270-2400

6020 Seabluff Dr
Ste 1
Playa Vista, CA 90094
Phone (310) 862-0400

20201 Rinaldi St
Ste 110
Porter Ranch, CA 91326
Phone (747) 444-4901

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1992187959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14475 VIVA DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928801071",
            "telephone_number": "909-896-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021006",
            "telephone_number": "562-698-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUW",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A146034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13652 Cantara St",
            "city": "Panorama City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914025423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.