DR. PETER LAWRENCE LAVALLE (M.D.) – Psychiatry Physician, NPI 1114907995

Psychiatry Physician

DR. PETER LAWRENCE LAVALLE (M.D.) is a healthcare provider. based in San leandro, California. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. G17435 (CA). The NPI Number for DR. PETER LAWRENCE LAVALLE (M.D.) is 1114907995

Main info

Male

Sole Proprietor

58 Years Of Experience

Accepts Medicare Assignment

Name

DR. PETER LAWRENCE LAVALLE (M.D.)

NPI

1114907995

Phone

(510) 667-7508

Address

2045 FAIRMONT DR

Enumeration Date

18 January 2006

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY

Secondary Phone

8058844019

Graduation Year

1968 (58 years ago)

PAC ID

3375649494

Group Practice PAC ID

8426028069

Professional Enrollment ID

I20070507000621

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for DR. PETER LAWRENCE LAVALLE (M.D.)

Fairmont Drive, San Leandro, Alameda County, California, 94578, United States
SAN LEANDRO, CA 945781088
Phone: (510) 667-7508
Fax: (510) 667-7522
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
90833	Psychotherapy with evaluation and management visit, 30 minutes	21	19	$0

View full utilization report →

Insurance plans in this area (ZIP 94578)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8426028069View full group profile

Name	Specialty	State
HELIODORO MAGANA	Physician Assistant	CA
DR. JASON NG (O.D.)	-	CA
BETH A BROWN (PA-C)	-	CA
CHUNCHUN ZHANG	Nurse Practitioner	CA
BASEM MORRIS AZIZ (MD)	-	NV
SHARON EMANCIA JOSEPH (NURSE PRACTITIONER)	Nurse Practitioner	GA
RAFAEL ROMAN TERAN (F.N.P.)	-	CA
DR. CHRISTOPHER F. AMSDEN (MD)	-	OR
JANE WANG (MD)	Pain Management	CA
SHANNON ALFONSO (DNP, FNP-C)	-	OR