Healthcare Provider Details

I. General information

NPI: 1801942156
Provider Name (Legal Business Name): LAWRENCE ALLEN RINSKY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10161 CARMEN RD FL 1
CUPERTINO CA
95014-2782
US

IV. Provider business mailing address

10161 CARMEN RD
CUPERTINO CA
95014-2782
US

V. Phone/Fax

Practice location:
  • Phone: 408-799-8379
  • Fax:
Mailing address:
  • Phone: 408-799-8379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberG23548
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: