Individual provider Active NPI

Lamont Wallace Hornbeck, M.D.

  • Procedural Dermatology Physician
  • Roseville, CA
National Provider Identifier
1871522664
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
G0517340 Issued in CA
Practice address
729 Sunrise Ave
Suite 700
Roseville, CA 95661-4565
Phone
(916) 782-3721
Fax
(916) 782-0618
NPI assigned
Jul 2, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G0517340 CA
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X G0517340 CA
Procedural Dermatology Physician 207NS0135X G0517340 CA Primary

Addresses

Primary practice location

729 Sunrise Ave
Suite 700
Roseville, CA 95661-4565

Mailing address

729 Sunrise Ave
Suite 700
Roseville, CA 95661-4565
Phone (916) 782-3721

Other identifiers 1

IdentifierTypeStateIssuer
00G517340MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000416 CA Practitioner - Dermatology 1254526668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Hahnemann University College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

729 Sunrise Ave
Suite 700
Roseville, CA 95661-4529

729 Sunrise Ave
Suite 700
Roseville, CA 95661-4565
Phone (916) 782-3721

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.5 of 100Reported as individual
Quality
15
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision56
Removal of tissue1-10
Removal of skin lesions651
Removal or shaving of skin growth280
Skin biopsy24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G0517340CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lamont Hornbeck MD Inc CurrentSince Aug 16, 2010 Accepting new patients
Alan a Semion M D Inc CurrentSince Nov 2, 2010 Accepting new patients

Locations

729 Sunrise Ave
Ste 700
Roseville, CA 95661
Phone (916) 782-3721

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1871522664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE",
            "address_2": "SUITE 700",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614565",
            "telephone_number": "916-782-3721",
            "fax_number": "916-782-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE",
            "address_2": "SUITE 700",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614565",
            "telephone_number": "916-782-3721",
            "fax_number": "916-782-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBECK",
        "first_name": "LAMONT",
        "middle_name": "WALLACE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G0517340",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "CA",
            "license": "G0517340",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G0517340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G517340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.