LAURENCE J MAZZOTTA M.D.
NPI 1790740546
Internal Medicine - Gastroenterology in Vallejo, CA

Active since April 17, 2006
480 REDWOOD ST., STE. 14, VALLEJO, CA 94590(707) 648-3327(707) 648-3902 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laurence J Mazzotta M.d. NPPES

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

LAURENCE J MAZZOTTA M.D. (NPI 1790740546) is an individual gastroenterology provider in Vallejo, California, licensed in California (G28907) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1790740546
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameLAURENCE J MAZZOTTACredential: M.D.
Location Address480 REDWOOD ST., STE. 14Vallejo, CA 94590-2958
Mailing Address480 Redwood St., Ste. 14Vallejo, CA 94590-2958 · (707) 648-3327 · Fax (707) 648-3902
Fax(707) 648-3902
Sole ProprietorYes
Enumeration DateApril 17, 2006
Last NPPES UpdateJune 22, 2010
NPI 1790740546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in CA · G28907 Licensed in CA · 628907
Definition
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.
480 REDWOOD ST., Vallejo, CA 94590

Other Identifiers 5

Medicare PIN00G289070CA
Medicare ID-Type Unspecified606289070
Medicaid00G289070CA
Medicare UPINA43906
Medicare UPINA43906CA

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
480 REDWOOD ST., STE. 13
VALLEJO, CA 94590

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 Laurence Mazzotta's NPI number?

The NPI number for Laurence Mazzotta is 1790740546. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Laurence Mazzotta located?

Laurence Mazzotta practices at 480 Redwood St. Ste. 14, Vallejo, CA 94590. The listed phone number is (707) 648-3327.

What is Laurence Mazzotta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Laurence Mazzotta was last updated on June 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.