ANDREW LAZERE (NPI# 1043265556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043265556 |
| Entity Type | Individual |
| Full Name | ANDREW LAZERE |
| Credential | M.D. |
| Practice Address |
31872 South Coast Highway Radiology Department Laguna Beach CA 92651 |
| Mailing Address |
Dept La 21650 Pasadena CA 91185-1650 |
| Practice Telephone | 9494997195 |
| Mailing Telephone | 9492638620 |
| Mailing Fax Number | 9492631639 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G20742 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00G207420 | 01 |
| CA | 00G207420 | 05 |
| Street Address |
31872 SOUTH COAST HIGHWAY RADIOLOGY DEPARTMENT |
| City | LAGUNA BEACH |
| State | CA |
| Zip Code | 92651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114977683 | True Luu Mcmahan | Emergency Medicine | 31872 South Coast Highway, Laguna Beach, CA 92651 | 2006-05-12 |
| 1831126499 | Marc David Taub | Emergency Medicine | 31872 South Coast Highway, Laguna Beach, CA 92651 | 2006-06-27 |
| 1770538027 | Lokesh Arora | Radiology | 31872 South Coast Highway, Radiology Department, Laguna Beach, CA 92651 | 2006-05-24 |
| 1174577043 | Robert Pompei | Radiology | 31872 South Coast Highway, Laguna Beach, CA 92651 | 2006-05-22 |
| 1356394969 | Elliott Fankuchen | Radiology | 31872 South Coast Highway, Radiology Department, Laguna Beach, CA 92651 | 2006-05-18 |
| 1104878040 | Gerald Stevens | Radiology | 31872 South Coast Highway, Laguna Beach, CA 92651 | 2006-05-17 |
| 1003868753 | Richard Wasley | Radiology | 31872 South Coast Highway, Radiology Department, Laguna Beach, CA 92651 | 2006-05-17 |
| 1831142496 | Tze-kong Meng | Radiology | 31872 South Coast Highway, Radiology Department, Laguna Beach, CA 92651 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
| 1871154526 | Jinyi Bae | Psychiatry & Neurology | 31872 Coast Highway, Behavioral Health Unit, Laguna Beach, CA 92651 | 2019-06-24 |
| 1790348209 | Karen Veseth | Pharmacist | 30842 South Pacific Coast Highway, Laguna Beach, CA 92651 | 2019-04-19 |
| 1629536602 | Briana Kim | Pharmacist | 30842 S Pacific Coast Highway, Laguna Beach, CA 92651 | 2019-03-08 |
| 1295246288 | Priscilla Newton | Marriage & Family Therapist | 1427 Catalina, Laguna Beach, CA 92651 | 2017-10-17 |
| 1659723609 | Kassie Claughton | Social Worker | 1986 S Coast Hwy, Suite 1600, Laguna Beach, CA 92651 | 2016-07-01 |
| 1285029629 | Kathleen Susan Wenger | Counselor | 1550 South Pacific Coast Highway, #205, Laguna Beach, CA 92651 | 2015-04-02 |
| 1316350044 | Marcus D Yetter | Podiatrist | 31852 Coast Hwy Ste 105, Laguna Beach, CA 92651 | 2014-06-10 |
| 1891105854 | Connie Lee Bird | Social Worker | 332 Forest Ave #21, Laguna Beach, CA 92651 | 2014-04-30 |
| 1578989745 | Ana Maria Guerrero | Acupuncturist | 1100 South Coast Highway # 215, Laguna Beach, CA 92651 | 2014-03-12 |
| Find all providers in zip 92651 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851662118 | Judith Rigby | Radiology | 421 Ledroit St, Laguna Beach, CA 92651-1313 | 2012-01-19 |
| 1073568663 | James Sutherland | Radiology | 31872 Outh Coast Highway, Radiology Department, Laguna Beach, CA 92651 | 2006-05-23 |
| 1548258239 | Amir H Ronaghi | Radiology | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2005-10-07 |
| 1770538027 | Lokesh Arora | Radiology | 31872 South Coast Highway, Radiology Department, Laguna Beach, CA 92651 | 2006-05-24 |
| 1174577043 | Robert Pompei | Radiology | 31872 South Coast Highway, Laguna Beach, CA 92651 | 2006-05-22 |
| 1356394969 | Elliott Fankuchen | Radiology | 31872 South Coast Highway, Radiology Department, Laguna Beach, CA 92651 | 2006-05-18 |
| 1104878040 | Gerald Stevens | Radiology | 31872 South Coast Highway, Laguna Beach, CA 92651 | 2006-05-17 |
| 1003868753 | Richard Wasley | Radiology | 31872 South Coast Highway, Radiology Department, Laguna Beach, CA 92651 | 2006-05-17 |
| 1831142496 | Tze-kong Meng | Radiology | 31872 South Coast Highway, Radiology Department, Laguna Beach, CA 92651 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
| 1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
| 1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA BEACH |
| Zip Code | 92651 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.