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Laura Crystal Mallory

Marriage and Family Therapist · Santa Clara

NPI 1215103593

Medicare standing
1 flag on the record
Listed below.
Plans that list them
2
2 carriers
Office
1
Since medical school
15 years
Graduated 2011

On the public record

  • California licence: Delinquent

Offices

1 location · Sud Specialty Group - CA · 519 clinicians in this group

Looking this up.

Plans that list them

2 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Laura Crystal Mallory’s office at (323) 968-6182 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

2 of 2 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026

California Medical Board record

Licence A103976 · Delinquent

Licence status: Delinquent · since 2008 · expires 2026-03-31 · State University of New York Health Science Center at Brooklyn.

License renewal fee has not been paid. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Professional record

NPI
1215103593
Licence
CA 103976, CA 67740California A103976: Delinquent · expires 2026-03-31
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 106H00000X (106H00000X); Federal specialty code 101YP2500X (101YP2500X)
Mailing address
420 E Canal Dr, Turlock, CA, 95380
NPI first listed
2008-05-06
NPI last updated
2023-01-09
NPI record certified
2023-01-09

This is when the NPI record was last certified, not a medical board exam.