LAUREN RIDDLE PA-C
NPI 1184409963
Physician Assistant in San Rafael, CA

Active since August 29, 2023PECOS Enrolled
99 MONTECILLO RD, SAN RAFAEL, CA 94903(415) 444-2988 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 18, 2025, Aug 29, 2023 (2 updates tracked since 2023).

About Lauren Riddle Pa-c NPPES

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

LAUREN RIDDLE PA-C (NPI 1184409963) is an individual physician assistant in San Rafael, California, licensed in California (PA65694) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Rafael.

NPPES Registry Identity

NPI1184409963
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREN RIDDLECredential: PA-C
Location Address99 MONTECILLO RDSan Rafael, CA 94903-3308
Mailing Address3213 Gleneagles CtFairfield, CA 94534-7846
Sole ProprietorYes
Enumeration DateAugust 29, 2023
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
NPI 1184409963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA65694
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

99 MONTECILLO RD, San Rafael, CA 94903

Secondary Practice Location 1

Location 150 Acacia AveSan Rafael, CA 94901-2230 · Phone (415) 457-4440

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lauren Riddle Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94903 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
Most-billed visit code 99213
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.

Social Worker (Clinical)
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Dermatology
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Anesthesiology
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Radiology (Diagnostic Radiology)
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Hospitalist
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Speech-Language Pathologist
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Internal Medicine
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Nurse Anesthetist, Certified Registered
99 MONTECILLO RD
SAN RAFAEL, CA 94903

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 Riddle's NPI number?

The NPI number for Lauren Riddle is 1184409963. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Where is Lauren Riddle located?

Lauren Riddle practices at 99 Montecillo Rd, San Rafael, CA 94903. The listed phone number is (415) 444-2988.

What is Lauren Riddle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lauren Riddle enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lauren Riddle was last updated on February 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.