Brandon Lao

Primary specialty

School CounselorTaxonomy code 101YS0200X

Practice address

1260 N Dutton Ave Ste 105
Santa Rosa, CA 95401-7121

Phone

(707) 568-2300

Fax

(707) 568-2304

NPI assigned

Oct 8, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Lifeworks of Sonoma County

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
  • NPI 1619295839
  NPD
• Lifeworks of Sonoma County

  • Mental Health Counselor
  • Santa Rosa, CA
  • NPI 1063557171
  NPD (past)

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1992347223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 N DUTTON AVE STE 105",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954017121",
            "telephone_number": "707-568-2300",
            "fax_number": "707-568-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 N DUTTON AVE STE 105",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954017121",
            "telephone_number": "707-568-2300",
            "fax_number": "707-568-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAO",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Zachary Lange, LMFT
• Joan Langfeld, P.T.
• Jain Fairfax Langston, LMFT
• Evan Lantzman
• Ellen Lanzone, PSYD
• Joo-Ann Lao, D.D.S
• Lilian Siguenza Lao, M.D.
• Yelena Lapan, DO
• Joseph Lapenna, MD
• Jacob Erin Lapides, LMFT

• School Counselor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• School Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.