NPIMap

Individual provider Active NPI

Larissa Belsky, FNP

  • Family Nurse Practitioner
  • Walnut Creek, CA
National Provider Identifier
1063042380
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013741 Issued in CA
Practice address
738 Bancroft Rd
Walnut Creek, CA 94598-1531
Phone
(925) 932-0321
NPI assigned
Jan 26, 2020
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95013741 CA Primary

Addresses

Primary practice location

738 Bancroft Rd
Walnut Creek, CA 94598-1531

Mailing address

738 Bancroft Rd
Walnut Creek, CA 94598-1593
Phone (925) 932-0321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201112001637 CA Practitioner - Nurse Practitioner 0648680132 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San MateoGroup PAC ID 9032023171, shared by 15 NPIs, 316 clinicians

Practice addresses (Care Compare)

222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (650) 573-2222

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Aug 25, 2020 Accepting new patients
County of San Mateo CurrentSince Dec 10, 2022 Accepting new patients
Healthright 360 CurrentSince Oct 21, 2021 Accepting new patients
County of San Mateo CurrentSince Dec 10, 2022 Accepting new patients
Healthright 360 Current Accepting new patients
County of San Mateo CurrentSince Dec 10, 2022 Accepting new patients

Locations

987 E Hillsdale Blvd
Foster City, CA 94404
Phone (650) 570-4631

1350 Florin Rd
Sacramento, CA 95822
Phone (916) 392-5184

1900 19th Ave
San Francisco, CA 94116
Phone (415) 664-1834

558 Clayton St
San Francisco, CA 94117
Phone (415) 746-1950

2514 Berryessa Rd
San Jose, CA 95132
Phone (408) 272-1431

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

2455 San Ramon Valley Blvd
San Ramon, CA 94583
Phone (925) 820-7325

738 Bancroft Rd
Walnut Creek, CA 94598
Phone (925) 932-0321

Interoperability endpoints

  • Direct secure messaging: lbelsky19439@smch.direct-ci.com

Organizations & group practices 6

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

Hospital & facility affiliations 10

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": "1579996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1063042380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 BANCROFT RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945981593",
            "telephone_number": "925-932-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 BANCROFT RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945981531",
            "telephone_number": "925-932-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELSKY",
        "first_name": "LARISSA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-26",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.