Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063496545 Individual Practitioner Male Practitioner

Dr. Jack Alan Laurie , MD

Pediatrics • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jack Laurie, MD is a registered healthcare professional specializing in Pediatrics in Riverside, CA. Practice services are available at 6405 DAY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6405 Day St

Riverside, CA 925070901

Telephone 9516975430
Fax 9516975488
Associated Practice Facility / Clinic
🏢 Riverside Medical Clinic, Inc Facility NPI 1780782557

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
91 Specialists

Practicing in Riverside, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA G43352

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Group Site Location
ZZZ92058Z

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Marjorie Wimmer , MD

Internal Medicine

NPI 1003494147

Doctor of Medicine (M.D.)

Dr. Edward Matuga , MD

Obstetrics & Gynecology

NPI 1003890682

Doctor of Medicine (M.D.)

Dr. Nathan Yen , MD

Family Medicine

NPI 1013992338

Doctor of Medicine (M.D.)

NPI 1023016847

Doctor of Medicine (M.D.)

NPI 1023096013

Doctor of Medicine (M.D.)

NPI 1033371844

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 15, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2010

Registered at 6405 DAY ST, RIVERSIDE, CA 925070901 (Tel: 9516975430)

📍
Updated Business Mailing Address November 15, 2010

Registered at 3660 ARLINGTON AVE, RIVERSIDE, CA 925063912 (Tel: 9517825110)

👤
Provider Name / Credentials Updated November 15, 2010

Recorded as JACK LAURIE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2010

Pediatrics (License #G43352 in CA)

🟢
Initial NPI Registration & Enumeration November 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063496545
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2005
Last Update: November 15, 2010
Sole Proprietor: No

Mailing Address

3660 Arlington Ave

Riverside, CA 925063912

Phone: 9517825110

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.