NPIMap

Individual provider Active NPI

Laura Lynne Asaro, NP

  • Nurse Practitioner
  • Stanford, CA
National Provider Identifier
1003916636
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95010735 Issued in CA
Practice address
875 Blake Wilbur Dr
Clinic D
Stanford, CA 94305
Phone
(650) 723-6197
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP-763A ID
Nurse Practitioner 363L00000X 201150140NP OR
Family Nurse Practitioner 363LF0000X RN2319223 MA
Nurse Practitioner 363L00000X 95010735 CA Primary

Addresses

Primary practice location

875 Blake Wilbur Dr
Clinic D
Stanford, CA 94305

Mailing address

875 Blake Wilbur Dr
Clinic D
Stanford, CA 94305-2200
Phone (650) 723-6197

Other practice location 1

41 Montvale Ave Ste 550
Stoneham, MA 02180-2434
Phone (781) 224-5800

Other practice location 2

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Other practice location 3

4400 E Flamingo Ave Ste 130
Nampa, ID 83687-1128
Phone (208) 205-0350

Other practice location 4

1050 SW 3rd Ave Ste 220
Ontario, OR 97914-2193
Phone (541) 881-2310

Other identifiers 2

IdentifierTypeStateIssuer
110132668AMedicaidMA
807569400MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR, CA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070126000353 ID Practitioner - Nurse Practitioner 1951302371 Reassigns benefits to 1 organization
I20120103000778 OR Practitioner - Nurse Practitioner 1951302371 Reassigns benefits to 3 organizations
I20190628000965 CA Practitioner - Nurse Practitioner 1951302371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Alphonsus Regional Medical Center IncGroup PAC ID 3476462359, 672 clinicians

Practice addresses (Care Compare)

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

3025 W Cherry LN
Meridian, ID 83642-8531

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000

4400 E Flamingo Ave
Nampa, ID 83687-9203

4402 E Flamingo Ave
Nampa, ID 83687-9203
Phone (208) 288-4520

Hospital & facility affiliations

  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • Saint Alphonsus Medical Center - Nampa Hospital, Nampa, ID, CCN 130013
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
80.12
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95010735CAMDNurse Practitioner
201150140NPORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc Nurse Practitioner CurrentSince Mar 1, 2025 Accepting new patients
Saint Alphonsus Medical Center Baker City, Inc CurrentSince Feb 5, 2025 Accepting new patients
Saint Alphonsus Medical Center Baker City, Inc CurrentSince Feb 5, 2025 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Mar 29, 2020 Accepting new patients
Baker Clinic, LLP Current Accepting new patients
Pratt Medical Group, Inc Past Accepting new patients
Saint Alphonsus Medical Center Nampa, Inc. Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients

Locations

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

5966 W Curtisian Ave
Boise, ID 83704
Phone (208) 302-5450

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3175 Pocahontas Rd
Baker City, OR 97814
Phone (208) 302-2200

3325 Pocahontas Rd
Baker City, OR 97814
Phone (541) 523-1797

Interoperability endpoints

  • Direct secure messaging: lasaro4043229@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/1523/brand/1/csg/23/fhir/r4

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1003916636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 BLAKE WILBUR DR",
            "address_2": "CLINIC D",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 BLAKE WILBUR DR",
            "address_2": "CLINIC D",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "94305",
            "telephone_number": "650-723-6197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Montvale Ave Ste 550",
            "address_purpose": "LOCATION",
            "city": "Stoneham",
            "state": "MA",
            "postal_code": "021802434",
            "country_code": "US",
            "telephone_number": "781-224-5800",
            "fax_number": "781-224-5817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Washington St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021111552",
            "country_code": "US",
            "telephone_number": "617-636-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 E Flamingo Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836871128",
            "country_code": "US",
            "telephone_number": "208-205-0350",
            "fax_number": "208-205-0356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 SW 3rd Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OR",
            "postal_code": "979142193",
            "country_code": "US",
            "telephone_number": "541-881-2310",
            "fax_number": "541-881-7041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASARO",
        "first_name": "LAURA",
        "middle_name": "LYNNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-763A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201150140NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2319223",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110132668A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807569400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.