Lala Anderson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95032415 Issued in CA

Practice address

959 Golf Course Dr # 151
Rohnert Park, CA 94928-1891

Phone

(707) 952-5267

NPI assigned

Mar 1, 2025

Last updated

Mar 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Noel Serrano MD PCGroup PAC ID 6800246893, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Noel Serrano MD PC

  • Internal Medicine Physician
  • Oakland, CA
  • NPI 1154010072

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• A.V.C.H., Inc.

  dba Apple Valley Post-Acute Rehab

  • Skilled Nursing Facility
  • Sebastopol, CA
  • NPI 1114902616
  NPD (past)

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

{
    "created_epoch": "1740787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1275330870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 GOLF COURSE DR # 151",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949281891",
            "telephone_number": "707-952-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 GOLF COURSE DR # 151",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949281891",
            "telephone_number": "707-952-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LALA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-01",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95032415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Alshadud
• Alexanna Christine Alvarado, RN
• Omar Alvarez, PPS COUNSELING
• Ameha T. Joba,DPM, PC
• American Current Care of California, a Medical Corporation (Concentra Urgent Care)
• Anka Behavorial Health, Inc. (Casa Rohnert Park)
• Angelina Antang
• Anthony Lieu DMD Inc
• Anthony Lieu DMD Inc
• David Paul Armstrong, D.C.

• Nurse Practitioner in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.

Verify at the official NPI Registry.