MS. LAURA MAE LORENZANA – Physician Assistant, NPI 1194598946

MS. LAURA MAE LORENZANA is a healthcare provider. based in Fontana, California. specializing in PHYSICIAN ASSISTANT. They hold a License No. 1196771 (CA). The NPI Number for MS. LAURA MAE LORENZANA is 1194598946

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MS. LAURA MAE LORENZANA
NPI
1194598946
Phone
(909) 213-6138
Address
12064 COUNTRYSIDE DR
Enumeration Date
3 November 2023
Last Update Date
1 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9093470700
Graduation Year
2023 (3 years ago)
PAC ID
9335681105
Group Practice PAC ID
8426369067
Professional Enrollment ID
I20240607001699
Address ID
CA923353374FO16127BLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for MS. LAURA MAE LORENZANA

  • 12064 COUNTRYSIDE DR

    FONTANA, CA 923370780

    Phone: (909) 213-6138

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Astellas Pharma US Inc ($50).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Astellas Pharma US Inc$50
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240607001699IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92337)

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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: 8426369067View full group profile
NameSpecialtyState
Internal MedicineCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
-CA
Nurse PractitionerCA
O P T O M E T R YCA
Nurse PractitionerCA
Physician AssistantIL
General PracticeCA

Reviews

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Frequently asked questions

Does MS. LAURA MAE LORENZANA share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. LAURA MAE LORENZANA uses 1194598946.
Does the file indicate MS. LAURA MAE LORENZANA is practicing under active NPI?
Directory data currently reports MS. LAURA MAE LORENZANA as active.
What is MS. LAURA MAE LORENZANA's specialty?
The listing groups MS. LAURA MAE LORENZANA with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect MS. LAURA MAE LORENZANA on a map?
Expect Fontana, California as a primary anchor for MS. LAURA MAE LORENZANA unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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