Individual provider Active NPI

Laura Aileen De la Cruz, NP

  • Family Nurse Practitioner
  • Chico, CA
National Provider Identifier
1144616251
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009407 Issued in CA
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

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190301002227 CA Practitioner - Nurse Practitioner 6204175623 Reassigns benefits to 3 organizations

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
Coastal Family Dermatology PCGroup PAC ID 3678899051, 8 clinicians

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

LicenseStateTypeSpecialty
95009407CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Dermatology, PC Current Accepting new patients
Chico Dermatology Inc CurrentSince Jan 1, 2023 Accepting new patients
Dermatology Spa Med Inc CurrentSince May 22, 2024 Accepting new patients
Coastal Family Dermatology, PC CurrentSince Sep 7, 2025 Accepting new patients
Chico Immediate Care Medical Center, Inc. Current Accepting new patients
Neil Brandan Stark DO Inc PastSince May 11, 2025 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.

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

Verify at the official NPI Registry.