Individual provider Active NPI

Simone Kayla Parmenter, FNP

  • Family Nurse Practitioner
  • Laguna Beach, CA
National Provider Identifier
1457993156
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012144 Issued in CA
Practice address
1100 S Coast Hwy Ste 212
Laguna Beach, CA 92651-2975
Phone
(949) 632-8087
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95012144 CA Primary

Addresses

Primary practice location

1100 S Coast Hwy Ste 212
Laguna Beach, CA 92651-2975

Mailing address

21207 Sailors Bay LN
Huntington Beach, CA 92646-6949
Phone (714) 345-0403

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
I20210112000568 CA Practitioner - Nurse Practitioner 4688087638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoag ClinicGroup PAC ID 3274872064, 447 clinicians

Practice addresses (Care Compare)

1031 Avenida Pico
Suite 204
San Clemente, CA 92673-6352
Phone (949) 829-5533

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
74.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95012144CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hoag Clinic CurrentSince Jan 10, 2022 Accepting new patients
Laguna Aesthetics & Family Wellness Center, Inc PastSince Oct 20, 2019 Accepting new patients
Gentle Aesthetics, Inc. PastSince Oct 20, 2019 Accepting new patients
Hoag Hospital Past Accepting new patients

Locations

4041 MacArthur Blvd
Ste 400
Newport Beach, CA 92660
Phone (949) 736-6100

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1457993156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21207 SAILORS BAY LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926466949",
            "telephone_number": "714-345-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S COAST HWY STE 212",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512975",
            "telephone_number": "949-632-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMENTER",
        "first_name": "SIMONE",
        "middle_name": "KAYLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

Verify at the official NPI Registry.