LAURA S ANDROY (PAC) – Physician Assistant, NPI 1225002710

LAURA S ANDROY (PAC) is a healthcare provider. based in Cathedral city, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA18639 (CA). The NPI Number for LAURA S ANDROY (PAC) is 1225002710

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
LAURA S ANDROY (PAC)
NPI
1225002710
Phone
(760) 328-4499
Address
68860 PEREZ RD STE J
Enumeration Date
14 February 2006
Last Update Date
3 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7073934000
Graduation Year
1997 (29 years ago)
PAC ID
4587558309
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20081231000353
Address ID
CA954032149SA401XXWAYX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for LAURA S ANDROY (PAC)

  • Perez Road, Cathedral City, Riverside County, California, 92234, United States

    CATHEDRAL CITY, CA 922347248

    Phone: (760) 328-4499

    Fax: (760) 328-1050

    Type: Mailing

  • San Jacinto Drive, Rancho Mirage, Riverside County, California, 92770, United States

    RANCHO MIRAGE, CA 922704457

    Phone: (760) 776-8692

    Fax: (760) 776-8418

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-31

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
I20081231000353IPhysician 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 92234)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

What number should I use to identify LAURA S ANDROY (PAC) for billing?
Administrative and clinical systems typically use NPI 1225002710 for LAURA S ANDROY (PAC).
Does the public listing show LAURA S ANDROY (PAC) as active?
LAURA S ANDROY (PAC)'s NPI record reflects an active status in NPPES.
What does the directory say LAURA S ANDROY (PAC) does?
Insurance directories may phrase it differently, but here LAURA S ANDROY (PAC) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to LAURA S ANDROY (PAC)?
The directory associates LAURA S ANDROY (PAC) with Cathedral City, California. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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