Healthcare Provider Details

I. General information

NPI: 1730894924
Provider Name (Legal Business Name): LAWRENCE UMAMING JR. FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18111 BROOKHURST ST
FOUNTAIN VALLEY CA
92708-6728
US

IV. Provider business mailing address

97 FRONTIER ST
TRABUCO CANYON CA
92679-5345
US

V. Phone/Fax

Practice location:
  • Phone: 714-378-7600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95024632
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number697077
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: