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MR. LAWRENCE TRINIDAD SAN JOSE M.D.
NPI 1194529362
Student in an Organized Health Care Education/Training Program in Indepedence, MO

Active since April 04, 2025PECOS Enrolled
19600 EAST 39TH ST S, CENTERPOINT MEDICAL CENTER, INDEPEDENCE, MO 64057(913) 396-3807 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Lawrence Trinidad San Jose M.d. NPPES

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

MR. LAWRENCE TRINIDAD SAN JOSE M.D. (NPI 1194529362) is an individual student in an organized health care education/training program in Indepedence, Missouri and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194529362
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. LAWRENCE TRINIDAD SAN JOSECredential: M.D.
Location Address19600 EAST 39TH ST S, CENTERPOINT MEDICAL CENTERIndepedence, MO 64057
Mailing Address19600 E 39th St SIndependence, MO 64057-2301 · (913) 456-3077
Phone(913) 396-3807
Sole ProprietorNo
Enumeration DateApril 4, 2025
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1194529362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
19600 EAST 39TH ST S, Indepedence, MO 64057
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Lawrence Trinidad San Jose M.d. 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.

Other Providers at the Same Location NPPES

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

PANKTI SHAH D.O
Student in an Organized Health Care Education/Training Program
19600 EAST 39TH ST S
INDEPENDENCE, MO 64057
Jackson County (816) 698-7000

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 Lawrence San Jose's NPI number?

The NPI number for Lawrence San Jose is 1194529362. It was assigned to this individual provider in the NPPES registry on April 4, 2025.

Where is Lawrence San Jose located?

Lawrence San Jose practices at 19600 East 39th St S Centerpoint Medical Center, Indepedence, MO 64057. The listed phone number is (913) 396-3807.

What is Lawrence San Jose's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lawrence San Jose enrolled in Medicare?

Yes. Lawrence San Jose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lawrence San Jose was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.