LAURENCE J. MAZZOTTA MD PC (NPI# 1386825750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386825750 |
| Entity Type | Organization |
| Organization Name | LAURENCE J. MAZZOTTA MD PC |
| Practice Address |
480 Redwood St Suite 14 Vallejo CA 94590-2958 |
| Practice Telephone | 7076483327 |
| Practice Fax Number | 7076483902 |
| Mailing Telephone | 7076483327 |
| Mailing Fax Number | 7076483902 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2010-10-06 |
| Authorized Official Name | LAURENCE J MAZZOTTA (SOLE PROPRIETOR) |
| Authorized Official Telephone | 7076483327 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G28907 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G289070 | 05 |
| Street Address |
480 REDWOOD ST SUITE 14 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-2958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730167370 | Paul David Weiner | Podiatrist | 480 Redwood St, Suite 10, Vallejo, CA 94590-2958 | 2006-01-04 |
| 1801258330 | Dental Office of Mounir N. Guirguis Dds, Inc. | Dentist | 480 Redwood St, Suite #13, Vallejo, CA 94590-2958 | 2016-03-23 |
| 1912323155 | Mercury Pharmacy Corporation | Pharmacy | 480 Redwood St, Suite#33, Vallejo, CA 94590-2958 | 2014-03-12 |
| 1790100519 | Teri Bilhartz Medical Corporation | Preventive Medicine | 480 Redwood St, Suite 14, Vallejo, CA 94590-2958 | 2014-03-03 |
| 1578873592 | Jackson Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 480 Redwood St, # 44, Vallejo, CA 94590-2958 | 2010-10-08 |
| 1609187392 | Ryan Christian Thomas | Podiatrist | 480 Redwood St, Suite 10, Vallejo, CA 94590-2958 | 2010-06-28 |
| 1063737609 | Setty Dds Inc. | Dentist | 480 Redwood St, Suite 13, Vallejo, CA 94590-2958 | 2010-04-06 |
| 1326372608 | Ricardo Angel Duenas | Pharmacist | 480 Redwood St, Suite#33, Vallejo, CA 94590-2958 | 2009-09-19 |
| 1730350422 | Paul David Weiner | Podiatrist | 480 Redwood St, Suite 10, Vallejo, CA 94590-2958 | 2008-03-20 |
| 1023182425 | Denise L. Martin-sahim | Specialist | 480 Redwood St, Suite 14, Vallejo, CA 94590-2958 | 2006-11-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790740546 | Laurence J Mazzotta | Internal Medicine | 480 Redwood St., Ste. 14, Vallejo, CA 94590-2958 | 2006-04-17 |
| 1588716708 | Pauline A. Mysliwiec | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-01-17 |
| 1396897518 | Arun G. Suryaprasad | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-01-17 |
| 1891873790 | Aaron M. Levy | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1275611014 | Sarah E. Streett | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1942388780 | Ralston R. Martin | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1538247101 | Thomas M. Cuff | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1023196508 | Jeffrey T. Wei | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
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| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
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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.