MR. ANDREW LAZO
NPI 1407242001
Counselor - Mental Health in Garden Grove, CA

Q: What is Andrew Lazo's NPI number?

The NPI number for Andrew Lazo is 1407242001. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Q: What is Andrew Lazo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Lazo was last updated on April 9, 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.

Active since April 09, 2015PECOS EnrolledAccepts Medicare Assignment

12800 GARDEN GROVE BLVD STE F, GARDEN GROVE, CA 92843(714) 620-8131 Get Directions Write a Review

NPPES record last updated: April 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Andrew Lazo NPPES

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

MR. ANDREW LAZO (NPI 1407242001) is an individual mental health provider in Garden Grove, California and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1407242001

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. ANDREW LAZO

Location Address12800 GARDEN GROVE BLVD STE FGarden Grove, CA 92843-2008

Mailing Address12800 Garden Grove Blvd Ste FGarden Grove, CA 92843 · (714) 620-8131

Phone(714) 620-8131

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateApril 9, 2015

✔ NPI 1407242001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

12800 GARDEN GROVE BLVD STE F, Garden Grove, CA 92843

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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 and accepts Medicare assignment

Mr. Andrew Lazo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062886062

PECOS Enrollment IDI20230314001972

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 14

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

MS. LINDA SUE COOLEY CATC, RADI

Counselor (Mental Health)