LAWRENCE ALLEN WETTERAU (NPI# 1457341497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457341497 |
| Entity Type | Individual |
| Full Name | LAWRENCE ALLEN WETTERAU |
| Credential | M.D. |
| Practice Address |
9300 Valley Childrens Pl Madera CA 93638-8761 |
| Practice Telephone | 5593536600 |
| Practice Fax Number | 5593536612 |
| Mailing Telephone | 5593536600 |
| Mailing Fax Number | 5593536612 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
35080347W | OH | Allopathic & Osteopathic Physicians |
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
A62927 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2282284 | 05 | |
| CA | MEDICAL RENDERING NUMBER | 00A629270 | 01 |
| KY | 64060635 | 05 |
| Street Address |
9300 VALLEY CHILDRENS PL |
| City | MADERA |
| State | CA |
| Zip Code | 93638-8761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405753 | Fred H Laningham | Radiology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2005-05-24 |
| 1043811953 | Ashley Nicole Peton | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-11-06 |
| 1063013308 | Samantha Carballo Austin | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1982205217 | Stefanie Marie Gibbons | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1114525128 | Kristin Leann Lokey | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-10-12 |
| 1770190969 | Mallory King | Physician Assistant | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-30 |
| 1356957161 | Sabrina Star Tovar | Audiologist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-09-17 |
| 1790391621 | Alyssa Catherine Nakaguchi | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-09-16 |
| 1740894773 | Heather Goossen | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-08 |
| 1184236820 | Renzio Menico Bantayan Apostol | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644628 | Kevin Violette | Physician Assistant | 344 E Sixth Street, Madera, CA 93638 | 2018-10-05 |
| 1265939185 | Kimberly Lenise Bradley | Clinic/Center | 1159 Country Club Drive, Madera, CA 93638 | 2018-04-08 |
| 1255849584 | Cathy Castillo | Technician, Health Information | 2935113 1/2 Ave, Madera, CA 93638 | 2018-01-22 |
| 1164944195 | Xavier Pablo Garcia | Case Manager/Care Coordinator | 14241 Road, Madera, CA 93638 | 2017-07-12 |
| 1568982460 | Cruz Amelia Macias | Case Manager/Care Coordinator | 14241 Rd 28, Madera, CA 93638 | 2017-06-21 |
| 1144699588 | Joanna Arredondo | Counselor | 344 E. 6th St., Madera, CA 93638 | 2015-09-16 |
| 1144625997 | Pushkal Jadaun | Internal Medicine | 124 Sa Street, Madera, CA 93638 | 2014-10-22 |
| 1598022600 | Valarie Ann Shaffer | Counselor | 14227 Road 28, Madera, CA 93638 | 2012-04-13 |
| 1053555904 | Patricia Ann Alexander | Nurse Practitioner | 344 E. 4th St, Madera, CA 93638 | 2009-04-22 |
| 1629246913 | Lynn Doyle Cogdill | Technician, Other | 14427 Road 28, Madra, CA 93638 | 2008-02-20 |
| Find all providers in zip 93638 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770720799 | John Shih-chang Ching | Pediatrics | 9300 Valley Childrens Pl # Mb23, Madera, CA 93636-8761 | 2009-01-13 |
| 1437518099 | Valley Children's Medical Group - Dept of Endocrinology | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2016-02-11 |
| 1437576436 | Isra Abugroun | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2014-03-27 |
| 1487946091 | Meenal S Mendiratta | Pediatrics | 9300 Valley Childrens Pl, Mb23, Madera, CA 93636-8761 | 2011-05-15 |
| 1730484403 | Sarah Richelle Brickey | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2011-01-11 |
| 1043407687 | Specialty Medical Group Central California Inc - Dept of Endocrinology | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2007-09-27 |
| 1003909821 | Meera Ramayya | Pediatrics | 9300 Valley Childrens Pl, Mb23, Madera, CA 93636-8761 | 2006-10-02 |
| 1134197858 | Swati Banerjee | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93638-8761 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497037915 | Sena Cantas Orsdemir | Pediatrics | 1 Med Plaza Dr, Irvine, CA 92697-1132 | 2011-09-10 |
| 1386890135 | Nicolas Leigh Cuttriss | Pediatrics | 300 Pasteur Dr Rm G-313, Stanford, CA 94305-2200 | 2008-08-13 |
| 1306017421 | Audrey Denise Briscoe | Pediatrics | 9449 East Imperial Hwy, Department of Pediatrics Suite 332, Downey, CA 90242 | 2008-03-17 |
| 1255452025 | Nadia Shaheen Sattar | Pediatrics | 39650 Liberty St Ste 140, Fremont, CA 94538-2225 | 2007-04-02 |
| 1255471975 | Huong Quynh Nguyen | Pediatrics | 7055 N Chestnut Ave, Suite 103, Fresno, CA 93720-0350 | 2007-02-08 |
| 1376659995 | Sherry L. Franklin | Pediatrics | 7910 Frost St Ste 435, San Diego, CA 92123-2771 | 2006-08-23 |
| 1124041710 | Ramin R Mogadas | Pediatrics | 9985 Sierra Ave Fl Mob, Fontana, CA 92335-6720 | 2006-07-25 |
| 1164442620 | Mario I. Brakin, M.d.,f.a.a.p., Inc | Pediatrics | 2650 Elm Ave Ste 210, Long Beach, CA 90806-1600 | 2006-07-20 |
| 1730138009 | Jordan Pinsker | Pediatrics | 2219 Bath Street, William Sansum Diabetes Center, Santa Barbara, CA 93105 | 2006-05-06 |
| 1093795684 | Ajanta Naidu | Pediatrics | Uci Medical Center, 101 The City Drive, Pavillion 1, Orange, CA 92868 | 2006-01-19 |
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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.