Laurine Kinza Vanlerberg, PMHNP, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95014757 Issued in CA

Practice address

777 Davis St Ste 300
San Leandro, CA 94577-6923

Phone

(510) 839-3800

NPI assigned

Feb 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NY, MT, MA4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shingletown Medical CenterGroup PAC ID 5294720736, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1740439314
  Medicare reassignment NPD
• County of Fresno

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fresno, CA
  • NPI 1770538001
  Medicare reassignment NPD
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MA, MT, NY, Psychiatric/Mental Health

  Medicare reassignment NPD
• Queens Psychiatric & Medical Care P.C.

  • Psychiatry Physician
  • Rego Park, NY
  • NPI 1497119846

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Shingletown Medical Center

  • Federally Qualified Health Center (FQHC)
  • Shingletown, CA
  • NPI 1750387072
  Care Compare group NPD
• Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1245489814
  NPD
• County of Fresno

  • State or Local Public Health Clinic/Center
  • Fresno, CA
  • NPI 1174606420
  NPD
• Alternative Family Services, Inc

  • Community/Behavioral Health Agency
  • Sacramento, CA
  • NPI 1982384673
  NPD (past)
• Alternative Family Services, Inc.

  • Community/Behavioral Health Agency
  • Pleasanton, CA
  • NPI 1730390162
  NPD (past)

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1295481877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 DAVIS ST STE 300",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776923",
            "telephone_number": "510-839-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 DAVIS ST STE 300",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776923",
            "telephone_number": "510-839-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8950 Cal Center Dr Ste 340",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958263225",
            "country_code": "US",
            "telephone_number": "916-254-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANLERBERG",
        "first_name": "LAURINE",
        "middle_name": "KINZA",
        "credential": "PMHNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95014757",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014757",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2366164",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "3312421",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95014757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lorraine Van Soest
• Skylar Vanauken
• Susie P Vanbuskirk, BA, BS, LMFT
• Clay Vance
• Bernadette Patricia Vandeusen, MSN, APRN, FNP-C
• Emily Anne Varela
• Viviana Faith Varela, NA
• Adriana Gabriela Vargas Gomez
• Andrea Lizbeth Vargas-Vera
• Earl Lee Vargas

• Psychiatric/Mental Health Nurse Practitioner in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.