DR. LARRY SNYDER (NPI# 1902902653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902902653 |
| Entity Type | Individual |
| Full Name | DR. LARRY SNYDER |
| Credential | M.D. |
| Practice Address |
34052 La Plz Suite 101 Dana Point CA 92629-2587 |
| Mailing Address |
Po Box 3630 Dana Point CA 92629 |
| Practice Telephone | 9494964369 |
| Practice Fax Number | 9494969365 |
| Mailing Telephone | 9494964369 |
| Mailing Fax Number | 9494969365 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2011-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C40002 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ05180Z | 01 |
| CA | LICENSE | C40002 | 01 |
| CA | MEDICARE GROUP NUMBER | W13226B | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174690689 | Larry Snyder | Dentist | 6811 Route 9, Rhinebeck, NY 12572-1150 | 2006-11-29 |
| 1982787156 | Larry H Snyder | Dentist | 43 Market St, Hatfield, PA 19440-2553 | 2006-10-23 |
| 1255306494 | Larry A Snyder | Radiology | 3511 Woodvalley Dr, Baltimore, MD 21208-1731 | 2006-02-21 |
| 1639238009 | Larry Allan Snyder | Dentist | 2070 S Park Pl Se, Suite 330, Atlanta, GA 30339-2045 | 2006-12-08 |
| Street Address |
34052 LA PLZ SUITE 101 |
| City | DANA POINT |
| State | CA |
| Zip Code | 92629-2587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073593240 | Judy Lynn Bourget | Surgery | 34052 La Plz, Suite 104, Dana Point, CA 92629-2587 | 2006-01-22 |
| 1598113961 | L Snyder Inc | Counselor | 34052 La Plz, Suite 101, Dana Point, CA 92629-2587 | 2016-05-26 |
| 1073916201 | Lynda Smith | Physician Assistant | 34052 La Plz, #101, Dana Point, CA 92629-2587 | 2014-10-02 |
| 1417200783 | Anne Luhan Md Inc | General Practice | 34052 La Plz, Suite 102, Dana Point, CA 92629-2587 | 2012-10-23 |
| 1609181668 | Judy L Bourget Md Inc | General Practice | 34052 La Plz, Ste 104, Dana Point, CA 92629-2587 | 2010-08-16 |
| 1093985731 | Anne Luhan | Surgery | 34052 La Plz, Suite # 102, Dana Point, CA 92629-2587 | 2008-03-10 |
| 1205024718 | Family Medical Center, Inc. | Family Medicine | 34052 La Plz, Suite 102, Dana Point, CA 92629-2587 | 2007-10-09 |
| 1508991050 | Shilpa Jagdish Gaikwad | Family Medicine | 34052 La Plz, Suite 105, Dana Point, CA 92629-2587 | 2007-02-23 |
| 1003916834 | Danuta Delnitz | Family Medicine | 34052 La Plz, Ste 102, Dana Point, CA 92629-2587 | 2006-09-22 |
| 1861598500 | Richard Kempert | Family Medicine | 34052 La Plz, Suite 101, Dana Point, CA 92629-2587 | 2006-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003443144 | Torrey Dawn Commisso | Counselor | 34092 Violet Lantern, Suite 100, Dana Point, CA 92629 | 2020-03-26 |
| 1104466473 | Kirsten Noelle Yackley | Marriage & Family Therapist | 34202 Del Obispo, Dana Point, CA 92629 | 2020-01-14 |
| 1154971653 | Alicia Jolieta Ciriani | Technician | 25082 Perch Dr., Dans Point, CA 92629 | 2019-09-17 |
| 1821640137 | L Snyder Incorporated | Family Medicine | 34052 La Plaza #101, Dana Point, CA 92629 | 2019-07-16 |
| 1023572609 | Michelle Shickler | Behavioral Analyst | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-01-28 |
| 1649734427 | Gustavo Asencia | Behavioral Analyst | 32565 Golden Lantern Ste B180, Dana Point, CA 92629 | 2019-01-25 |
| 1275069684 | Mission Rehab, LLC. | Substance Abuse Rehabilitation Facility | 32656 Golden Lantern, Suite B #473, Dana Point, CA 92629 | 2017-05-04 |
| 1922548452 | Dana Point Rehab Campus | Substance Abuse Rehabilitation Facility | 33842 Orilla Rd, Dana Point, CA 92629 | 2017-03-02 |
| 1316340060 | Steven Edward Dunbar | Chiropractor | 32585 Golden Lantern St. Suite H, Dana Point, CA 92629 | 2014-10-08 |
| 1427476183 | Lorraine Ann Sherrie | Occupational Therapy Assistant | 24242 La Cresta, Ot Department, Dana Point, CA 92629 | 2014-03-31 |
| Find all providers in zip 92629 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154724052 | Brett Larson | Family Medicine | 14 Monarch Bay Plz # 122, Dana Point, CA 92629-3424 | 2014-10-06 |
| 1164762431 | Siaw-lin Yong | Family Medicine | 34052 Cambridge Road, Dana Point, CA 92629-2934 | 2013-02-25 |
| 1891994778 | Sarv Mittar Grover | Family Medicine | 2 Saint Robert, Dana Point, CA 92629-4133 | 2007-07-12 |
| 1780630434 | Rajendra T Rana | Family Medicine | 22812 Via Orvieto, Dana Point, CA 92629-3452 | 2006-05-25 |
| 1205024718 | Family Medical Center, Inc. | Family Medicine | 34052 La Plz, Suite 102, Dana Point, CA 92629-2587 | 2007-10-09 |
| 1962531467 | Danuta Mason | Family Medicine | 34052 La Plz Ste 103, Dana Point, CA 92629-2571 | 2007-03-02 |
| 1508991050 | Shilpa Jagdish Gaikwad | Family Medicine | 34052 La Plz, Suite 105, Dana Point, CA 92629-2587 | 2007-02-23 |
| 1003916834 | Danuta Delnitz | Family Medicine | 34052 La Plz, Ste 102, Dana Point, CA 92629-2587 | 2006-09-22 |
| 1861598500 | Richard Kempert | Family Medicine | 34052 La Plz, Suite 101, Dana Point, CA 92629-2587 | 2006-09-16 |
| 1710946876 | Jeannine Carmen Kofford | Family Medicine | 24582 Del Prado, Ste H, Dana Point, CA 92629-3843 | 2006-03-18 |
| Find all providers in DANA POINT | ||||
| City | DANA POINT |
| Zip Code | 92629 |
Please comment or provide details below to improve the information on DR. LARRY SNYDER.
| 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.