JOHN LACY (NPI# 1093758708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093758708 |
| Entity Type | Individual |
| Full Name | JOHN LACY |
| Credential | M.D. |
| Practice Address |
24451 Health Center Drive Laguna Hills CA 92653 |
| Mailing Address |
Po Box 6388 San Pedro CA 90734-6388 |
| Practice Telephone | 9494523050 |
| Practice Fax Number | 9494523066 |
| Mailing Telephone | 3102253244 |
| Mailing Fax Number | 3106987054 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
G79003 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G790030 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144232463 | John Joseph Lacy Jr. | Dentist | 361 S Linden Ave, Waynesboro, VA 22980-3503 | 2006-08-13 |
| 1003431362 | John William Lacy Jr. | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-06-12 |
| 1538487939 | John Mark Lacy | Urology | 1928 Alcoa Hwy, Mob B Suite 222, Knoxville, TN 37920-1502 | 2010-05-10 |
| 1811143365 | John Matthew Lacy | Internal Medicine | 325 9th Ave, Seattle, WA 98104-2420 | 2008-08-15 |
| 1992964159 | John Eric Lacy | Internal Medicine | 701 Grove Rd, Greenville, SC 29605-5611 | 2008-06-03 |
| 1841458346 | John Mcpherson Lacy | Psychologist | 1700 Ups Dr, Suite 208, Louisville, KY 40223-4046 | 2008-05-30 |
| 1053461715 | John H. Lacy | Surgery | 130 Daniel Dr, Danville, KY 40422-2527 | 2007-01-12 |
| Street Address |
24451 HEALTH CENTER DRIVE |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902858384 | South Coast Radiological Medical Group Inc | Nuclear Medicine | 24451 Health Center Drive, Laguna Hills, CA 92653-3689 | 2006-05-16 |
| 1073556270 | Vivian Mendoza | Pathology | 24451 Health Center Drive, Laguna Hills, CA 92653 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851590624 | Banafsheh Rashidi | Pathology | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2007-07-12 |
| 1639381387 | Michelle Angela Fajardo | Pathology | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2007-05-04 |
| 1467495689 | Sonja C. Matthias | Pathology | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2006-06-14 |
| 1073556270 | Vivian Mendoza | Pathology | 24451 Health Center Drive, Laguna Hills, CA 92653 | 2006-06-14 |
| 1609819358 | Albert Huang | Pathology | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063058170 | Paragon Diagnostics San Francisco | Pathology | 900 Hyde St Fl 1, San Francisco, CA 94109-4806 | 2019-11-24 |
| 1669034518 | Diagnostic Pathology Medical Group Inc | Pathology | 2801 K St Ste 235, Sacramento, CA 95816-5170 | 2019-07-01 |
| 1093277956 | Shajia Rahman Ansari | Pathology | 38558 Vancouver Cmn, Fremont, CA 94536-4056 | 2019-04-01 |
| 1831655158 | Rana Richeh | Pathology | 12 Spectrum Pointe Dr, Lake Forest, CA 92630-2242 | 2019-02-11 |
| 1710457510 | University of California Sfgh Medical Group | Pathology | 1001 Potrero Ave Rm 2m14, San Francisco, CA 94110-3518 | 2018-12-05 |
| 1770053233 | Samuel Jason Guzman | Pathology | 10026 Karmont Ave, South Gate, CA 90280-5417 | 2018-11-27 |
| 1144799750 | Penguin Medical Group, Inc | Pathology | 11 W Del Mar Blvd Ste 201, Pasadena, CA 91105-2593 | 2018-11-13 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
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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.