LAUREN ELVIRA MIRABDOLLAH N.P.
NPI 1003235904
Nurse Practitioner in San Luis Obispo, CA

Q: What is Lauren Mirabdollah's NPI number?

The NPI number for Lauren Mirabdollah is 1003235904. It was assigned to this individual provider in the NPPES registry on April 8, 2014. The provider is also known as Lauren Elvira Foster N.P..

Q: What is Lauren Mirabdollah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since April 08, 2014PECOS Enrolled

77 CASA ST, SUITE 201-204, SAN LUIS OBISPO, CA 93405(805) 269-1500(805) 269-1585 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Lauren Elvira Mirabdollah N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN ELVIRA MIRABDOLLAH N.P. (NPI 1003235904) is an individual nurse practitioner in San Luis Obispo, California, licensed in California (95000334) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003235904

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLAUREN ELVIRA MIRABDOLLAHCredential: N.P.

Location Address77 CASA ST, SUITE 201-204San Luis Obispo, CA 93405-5803

Mailing Address2050 S Blosser RdSanta Maria, CA 93458-7310 · (805) 361-8028 · Fax (805) 361-8097

Phone(805) 269-1500

Fax(805) 269-1585

Sole ProprietorNo

Enumeration DateApril 8, 2014

Last NPPES UpdateAugust 24, 2015

✔ NPI 1003235904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95000334

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

77 CASA ST, San Luis Obispo, CA 93405

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Other Names 1

Former Name (1)Lauren Elvira Foster N.p.

Other Identifiers 1

Medicare PINW1508CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Elvira Mirabdollah N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lauren Mirabdollah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Centers Of The Central Coast, Inc

Same address

Community Health

77 CASA ST STE 201
San Luis Obispo, CA 93405

Reassigned Medicare billing, California enrollment
213 clinicians in this Medicare group

NPI 1629377452 (805) 269-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.64 typical visit price

range $59.84 – $178.89

Typical copayment $22.91 (range $14.96 – $44.72)

Most-billed visit code 99203

Established Patient

$104.82 typical visit price

range $19.70 – $146.55

Typical copayment $26.20 (range $4.92 – $36.63)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FIRST CHOICE PHYSICIAN PARTNERS

Internal Medicine

77 CASA ST, SUITE 108
SAN LUIS OBISPO, CA 93405

San Luis Obispo County (805) 541-6225

DR. STEPHEN J TIDIK M.D.

Surgery

77 CASA ST, SUITE 103
SAN LUIS OBISPO, CA 93405

San Luis Obispo County (805) 544-8993

DR. LESLIE G KASANOFF DC

Chiropractor

77 CASA ST, 201
SAN LUIS OBISPO, CA 93405

San Luis Obispo County (805) 269-1500

MRS. JESSICA M MALONE NP

Nurse Practitioner

77 CASA ST, SUITE 103
SAN LUIS OBISPO, CA 93405

San Luis Obispo County (805) 546-0411

ADAM JOSEPH JANETTE DDS

Dentist (Oral and Maxillofacial Surgery)

77 CASA ST, SUITE 101
SAN LUIS OBISPO, CA 93405

San Luis Obispo County (805) 541-5611

FREDERICK HASEMAN MD

Specialist

77 CASA ST, SUITE 203
SAN LUIS OBISPO, CA 93405

San Luis Obispo County (805) 544-6471

ADAM J. JANETTE, DDS INC.

Dentist (Oral and Maxillofacial Surgery)

77 CASA ST, SUITE 101
SAN LUIS OBISPO, CA 93405

San Luis Obispo County (805) 541-5611

ALICIA DUECK LCSW

Social Worker (Clinical)

77 CASA ST
SAN LUIS OBISPO, CA 93405

San Luis Obispo County (805) 269-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren Mirabdollah's NPI number?

The NPI number for Lauren Mirabdollah is 1003235904. It was assigned to this individual provider in the NPPES registry on April 8, 2014. The provider is also known as Lauren Elvira Foster N.P..

Where is Lauren Mirabdollah located?

Lauren Mirabdollah practices at 77 Casa St Suite 201-204, San Luis Obispo, CA 93405. The listed phone number is (805) 269-1500.

What is Lauren Mirabdollah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lauren Mirabdollah enrolled in Medicare?

Yes. Lauren Mirabdollah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lauren Mirabdollah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Mirabdollah reassigns Medicare benefits to Community Health Centers Of The Central Coast, Inc (San Luis Obispo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lauren Mirabdollah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lauren Mirabdollah was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.