Active NPI
Ann C Larocca
- Family Nurse Practitioner
- Clearlake, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 296025
- Practice address
- 15230 Lakeshore Dr
Clearlake, CA 95422-8107 - Phone
- (707) 995-4500
- NPI assigned
- Dec 15, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 296025 | CA | Primary |
Addresses
Primary practice location
15230 Lakeshore Dr
Clearlake, CA 95422-8107
Mailing address
15230 Lakeshore Dr
Clearlake, CA 95422-8107
Phone (707) 995-4500
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15630 18TH Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486
Hospital & facility affiliations
- Adventist Health Home Care Services
- Sutter Care at Home
- Adventist Health Clearlake
- Adventist Health Ukiah Valley
- Sutter Lakeside Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19901 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Clearlake Hospital Inc. | Current | Accepting new patients | |
| Adventist Health Clearlake Hospital, Inc | Past | Accepting new patients |
Locations
15230 Lakeshore Dr
Clearlake, CA 95422
Phone (707) 995-4500
15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820
15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030
5290 State St
Kelseyville, CA 95451
Phone (707) 279-8813
19270 Highway 12
Sonoma, CA 95476
Phone (707) 939-6070
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
-
- Rural Health Clinic/Center
- Lakeport, CA
- NPI 1871063040
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
-
- Critical Access Hospital
- Lakeport, CA
- NPI 1952634008
-
- Home Health Agency
- Lakeport, CA
- NPI 1871734244
-
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
-
- Home Health Agency
- Lower Lake, CA
- NPI 1063762896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1306149240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15230 LAKESHORE DR",
"city": "CLEARLAKE",
"state": "CA",
"postal_code": "954228107",
"telephone_number": "707-995-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15230 LAKESHORE DR",
"city": "CLEARLAKE",
"state": "CA",
"postal_code": "954228107",
"telephone_number": "707-995-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROCCA",
"first_name": "ANN",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-15",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "296025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearlake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.