Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel Owen Lareaux

Individual provider Emergency Medicine Physician · NPI 1629606173

Daniel Owen Lareaux is an Emergency Medicine in Orange, California. Qualified in 2020, 6 years ago. Practices with Avalon Medical Development Corporation, a 27-clinician group and works from 3 locations. Licensed in California and Virginia.

Years since qualifying
6
Licensed in
CA, VA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

101 The City Dr S
Orange, CA 92868-3201
Phone: (714) 456-8888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Health Cir, Lexington, VA 24450-2448 — (540) 458-3300
  • 1906 Belleview Ave Se, Roanoke, VA 24014-1838 — (540) 981-7000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A184974 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 0101275458 (VA)

Record details

NPI number1629606173
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 31, 2020
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024
Mailing address213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Avalon Medical Development Corporation — 27 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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