DR. LAUREN MCCORMICK (NPI# 1912516899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912516899 |
| Entity Type | Individual |
| Full Name | DR. LAUREN MCCORMICK |
| Credential | DDS |
| Practice Address |
201 Walnut Ave Vallejo CA 94592-1107 |
| Mailing Address |
1108 Fairview Ave San Jose CA 95125-3412 |
| Practice Telephone | 7075628283 |
| Mailing Telephone | 4088213914 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417402819 | Lauren Mccormick | Speech-Language Pathologist | 515 Camelot Ln, Pigeon, MI 48755-9524 | 2016-08-16 |
| 1407481773 | Lauren Mccormick | Licensed Vocational Nurse | 9890 County Farm Rd Ste 3, Riverside, CA 92503-3678 | 2020-03-07 |
| 1447504162 | Lauren E Mccormick | Physical Therapist | 1855 Powder Mill Rd, York, PA 17402-4723 | 2012-11-02 |
| 1376764506 | Lauren Jane Mccormick | Pharmacist | 200 Trenton Rd, Deborah Heart and Lung Center, Browns Mills, NJ 08015-1705 | 2007-05-02 |
| Street Address |
201 WALNUT AVE |
| City | VALLEJO |
| State | CA |
| Zip Code | 94592-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064584 | Maclyn Merritt | Dental Hygienist | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2020-08-19 |
| 1205456647 | Nicole Renee Randall | Student in an Organized Health Care Education/Training Program | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2020-04-24 |
| 1740816958 | Chang Guo | Student in an Organized Health Care Education/Training Program | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2020-03-19 |
| 1174156459 | Tiffany Tse | Dentist | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2020-02-14 |
| 1184270159 | Brandon William Rebottaro | Student in an Organized Health Care Education/Training Program | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2019-08-14 |
| 1043733660 | Mark Watanabe | Dentist | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2017-07-25 |
| 1881127785 | William Chao | Dentist | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2017-04-07 |
| 1386099430 | Rachel Trott | Social Worker | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2016-04-26 |
| 1538392618 | Mary M Beutner | Registered Nurse | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2009-08-24 |
| 1356458830 | Veterans Administration | Social Worker | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671811 | Amy Ngoc Anh Tran | Student in an Organized Health Care Education/Training Program | Touro University California, 1310 Club Drive, Vallejo, CA 94592 | 2019-10-25 |
| 1780168666 | Bill Darrel Danyeur | Health Educator | Touro University California Dpp, 1310 Club Drive, Vallejo, CA 94592 | 2018-09-18 |
| 1194034710 | Paul Robert Hansen | Pharmacist | 1310 Johnson Lane, Mare Island, Vallejo, CA 94592 | 2010-09-30 |
| 1548298607 | Touro University California | Family Medicine | 1310 Club Drive, Vallejo, CA 94592 | 2006-06-29 |
| 1093785362 | Ronald W. Eng | Dentist | Vanchcs Outpatient Clinic. Dental Service (160/mi), Bldg. 201, Walnut Ave., Mare Island, CA 94592 | 2006-01-26 |
| 1952386625 | Renu Yadav Sharma | Dentist | Va Nchcs- Dental Service, Bldg 201 Walnut Ave, Mare Island, CA 94592 | 2005-12-14 |
| 1689659518 | Linda Chie | Dentist | Va Northern California Health Care Systen Dental Clinic, Bldg. 201, Walnut Ave., Mare Island, CA 94592 | 2005-12-14 |
| 1114404712 | Keith Isamu Yoshizuka | Pharmacist | 1310 Club Drive, Touro University California College of Pharmacy, Vallejo, CA 94592 | 2018-07-26 |
| 1669996518 | Daniel Jaemoon Kang | Dentist | 201 Walnut Avenue, 612 Ge/mi Dental, Vallejo, CA 94592 | 2017-08-02 |
| 1689975278 | James Wesley Binkerd | Neuromusculoskeletal Medicine & OMM | 1310 Club Drive, Vallejo, CA 94592 | 2010-11-12 |
| Find all providers in zip 94592 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703281 | Rachel Brodhead | Student in an Organized Health Care Education/Training Program | 437 N Regatta Dr, Vallejo, CA 94591-7702 | 2020-06-01 |
| 1952924631 | Shanice Renee Watts | Student in an Organized Health Care Education/Training Program | 144 Columbia Way, Vallejo, CA 94589-1421 | 2020-05-28 |
| 1215556766 | Huong Tran | Student in an Organized Health Care Education/Training Program | 816 Jack London Dr, Vallejo, CA 94589-1407 | 2020-04-15 |
| 1144859158 | Yasaman Ashley Lajevardi | Student in an Organized Health Care Education/Training Program | 721 Oscar St, Vallejo, CA 94592-1180 | 2020-04-02 |
| 1124654082 | Sean Wang | Student in an Organized Health Care Education/Training Program | 911 Madrone Ave, Vallejo, CA 94592-1165 | 2020-03-22 |
| 1447895735 | Marcus Justin Chen | Student in an Organized Health Care Education/Training Program | 610 Poplar Ave, Vallejo, CA 94592-1147 | 2019-11-11 |
| 1134762792 | Alexander John Mckean | Student in an Organized Health Care Education/Training Program | 827 Kentucky St, Vallejo, CA 94590-5215 | 2019-10-25 |
| 1225671811 | Amy Ngoc Anh Tran | Student in an Organized Health Care Education/Training Program | Touro University California, 1310 Club Drive, Vallejo, CA 94592 | 2019-10-25 |
| 1447817127 | Jack Wayland Davis II | Student in an Organized Health Care Education/Training Program | 1109 Flagship Dr, Vallejo, CA 94592-1114 | 2019-05-29 |
| 1700449030 | Desire Ingabire | Student in an Organized Health Care Education/Training Program | 436 Waterview Ter, Vallejo, CA 94591-7159 | 2019-04-22 |
| Find all providers in VALLEJO | ||||
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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.