Ilja Laduc, CNM, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

4260 Issued in CA

Practice address

1919 Aspenridge CT
Walnut Creek, CA 94597-2951

Phone

(925) 300-3333

NPI assigned

Jul 28, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1326423658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 ASPENRIDGE CT",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972951",
            "telephone_number": "925-300-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 ASPENRIDGE CT",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972951",
            "telephone_number": "925-300-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADUC",
        "first_name": "ILJA",
        "name_prefix": "Ms.",
        "credential": "CNM, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "4260",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Maria Laclergue, ACNP-BC
• Stephanie Lacount, LMFT
• Anna Lacourt
• Etienne Lacrampe, D.M.D.
• Clayton Laderer, PA-C
• Annie PO Wah Lai, MD
• Conrad N Lai, M.D
• Gloria Yatmen Lai
• Tiffany Hillmen Lai, FNP
• Patsorn Laikijrung

• Women's Health Nurse Practitioner in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.