Individual provider Active NPI

Leda Ricamora Lauc, NP

  • Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1497274385
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95007384 Issued in CA
Practice address
7130 N Millbrook Ave
Fresno, CA 93720-3347
Phone
(559) 326-1222
Fax
(559) 326-1230
NPI assigned
Sep 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9500734 CA
Primary Care Nurse Practitioner 363LP2300X 9500734 CA
Nurse Practitioner 363L00000X 95007384 CA Primary

Addresses

Primary practice location

7130 N Millbrook Ave
Fresno, CA 93720-3347

Mailing address

PO Box 25100
Fresno, CA 93729-5100
Phone (559) 326-1222

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
I20180209001472 CA Practitioner - Nurse Practitioner 8224398391 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95007384CAMDNurse Practitioner
9500734CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sinu-Clear Inc CurrentSince Nov 15, 2025 Accepting new patients
Shamsuddin Khwaja M D Inc CurrentSince Jan 25, 2018 Accepting new patients

Locations

729 N Medical Center Dr W
Ste 223
Clovis, CA 93611
Phone (559) 449-9990

7575 N Cedar Ave
Ste 101
Fresno, CA 93720
Phone (559) 449-9990

9620 Fremont Ave
Montclair, CA 91763
Phone (909) 227-0750

1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791

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.

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1497274385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937295100",
            "telephone_number": "559-326-1222",
            "fax_number": "559-326-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203347",
            "telephone_number": "559-326-1222",
            "fax_number": "559-326-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUC",
        "first_name": "LEDA",
        "middle_name": "RICAMORA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "9500734",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "9500734",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95007384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.