Laurence of Oakland

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LAURENCE OF OAKLAND

Doing business as

Laurence Orthotics and Prosthetics

Practice address

3324 Webster St
Oakland, CA 94609

Phone

(510) 658-2062

Fax

(510) 658-7779

NPI assigned

Oct 7, 2005

Organization subpart

No

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

Authorized official

Name

Richard W Todd

Title

Authorized Agent

Phone

(916) 718-8252

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laurence Orthotics and Prosthetics Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1992793574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 PUTNAM BLVD STE A",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234650",
            "telephone_number": "510-658-2062",
            "fax_number": "510-658-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 WEBSTER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-658-2062",
            "fax_number": "510-658-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE OF OAKLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "916-718-8252"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GFC000120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurence Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laurence Orthotics and Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Oakland, CA
• Providers in Oakland, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.