Active NPI
Laura Aileen De la Cruz, NP
- Family Nurse Practitioner
- Chico, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95009407
- Practice address
- 100 Independence Cir
Chico, CA 95973-0258 - Phone
- (530) 899-2095
- NPI assigned
- Apr 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 95055041 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95009407 | CA | Primary |
Addresses
Primary practice location
100 Independence Cir
Chico, CA 95973-0258
Mailing address
1779 Durham Dayton Hwy Apt a
Durham, CA 95938-9439
Phone (530) 566-2166
Other practice location 1
1442 Ethan Way Ste 200
Sacramento, CA 95825-2232
Phone (916) 482-4856 ext. 206
Other names 1
- Laura Aileen McPherson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
892 Aerovista PL
Suite 120
San Luis Obispo, CA 93401-8054
Phone (805) 544-5567
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95009407 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Family Dermatology, PC | Current | Accepting new patients | |
| Chico Dermatology Inc | Current | Accepting new patients | |
| Dermatology Spa Med Inc | Current | Accepting new patients | |
| Coastal Family Dermatology, PC | Current | Accepting new patients | |
| Chico Immediate Care Medical Center, Inc. | Current | Accepting new patients | |
| Neil Brandan Stark DO Inc | Past | Accepting new patients |
Locations
6000 Physicians Blvd
Ste 210
Bakersfield, CA 93301
Phone (661) 325-9312
774 East Ave
Chico, CA 95926
Phone (530) 774-2650
376 Vallombrosa Ave
Chico, CA 95926
Phone (530) 891-1676
120 N Miller St
Bldg Bc
Santa Maria, CA 93454
Phone (805) 739-0033
525 Plaza Dr
Ste 200
Santa Maria, CA 93454
Phone (805) 544-5567
892 Aerovista Pl
Ste 120
Sn Luis Obisp, CA 93401
Phone (805) 544-5567
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 and National Provider Directory roles.
-
- Pediatric Dermatology Physician
- San Luis Obispo, CA
- NPI 1174927073
-
- Dermatology Physician
- Chico, CA
- NPI 1578121570
-
- Dermatology Physician
- Pismo Beach, CA
- NPI 1356094676
-
- Clinic/Center
- Paradise, CA
- NPI 1972556249
-
- Pediatric Dermatology Physician
- San Luis Obispo, CA
- NPI 1295290567
-
- Family Medicine Physician
- Chico, CA
- NPI 1750171021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1144616251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1779 DURHAM DAYTON HWY APT A",
"city": "DURHAM",
"state": "CA",
"postal_code": "959389439",
"telephone_number": "530-566-2166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 INDEPENDENCE CIR",
"city": "CHICO",
"state": "CA",
"postal_code": "959730258",
"telephone_number": "530-899-2095"
}
],
"practiceLocations": [
{
"address_1": "1442 Ethan Way Ste 200",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958252232",
"country_code": "US",
"telephone_number": "916-482-4856 x206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LA CRUZ",
"first_name": "LAURA",
"middle_name": "AILEEN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-15",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "CA",
"license": "95055041",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95009407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "MCPHERSON",
"middle_name": "AILEEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.