Individual provider Active NPI

Laura Bisaccia Hamilton, FNP-C

  • Family Nurse Practitioner
  • Simi Valley, CA
National Provider Identifier
1952803462
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95008640 Issued in CA
Practice address
2996 Kilaine Dr
Simi Valley, CA 93063-2174
Phone
(805) 587-1424
NPI assigned
Mar 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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 NP95008640 CA Primary

Addresses

Primary practice location

2996 Kilaine Dr
Simi Valley, CA 93063-2174

Mailing address

2996 Kilaine Dr
Simi Valley, CA 93063-2174
Phone (805) 587-1424

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
I20180813001914 CA Practitioner - Nurse Practitioner 2961750625 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Emergency Physicians, Inc.Group PAC ID 9931391604, 16 clinicians
Agoura Hills Urgentocare PCGroup PAC ID 3476981226, 13 clinicians

Practice addresses (Care Compare)

2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6107

5825 Kanan Rd
Agoura Hills, CA 91301-1648
Phone (818) 483-0775

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
72.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95008640CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Los Robles Emergency Physicians Medical Group CurrentSince Sep 25, 2018 Accepting new patients
Nightingale Clinical Care, PC CurrentSince Nov 2, 2020 Accepting new patients
Adventist Health Physicians Network CurrentSince Jul 20, 2018 Accepting new patients
Allied Emergency Physicians, Inc. CurrentSince Nov 14, 2018 Accepting new patients
The Huntington Medical Foundation CurrentSince Aug 7, 2023 Accepting new patients
Adventist Health Physians Network CurrentSince Jul 20, 2018 Accepting new patients
Valley Presbyterian Emergency Medical Associates CurrentSince Mar 5, 2019 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Total Renal Care Inc Past Accepting new patients

Locations

902 Bear Mountain Blvd
Arvin, CA 93203
Phone (209) 543-1720

2438 N Ponderosa Dr
Ste C101
Camarillo, CA 93010
Phone (559) 664-9252

4445 Riverside Dr
Chino, CA 91710
Phone (760) 202-3491

510 E North Way
Dinuba, CA 93618
Phone (209) 473-2294

11690 San Pablo Ave
El Cerrito, CA 94530

501 E Almond Ave
Madera, CA 93637
Phone (559) 664-9252

3001 Health Care Way
Ste 102
Modesto, CA 95356
Phone (559) 664-9255

78030 Wildcat Dr
Ste 101
Palm Desert, CA 92211
Phone (908) 845-4494

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

320 James Way
Ste 100
Pismo Beach, CA 93449
Phone (209) 827-3973

3 Rossi Cir
Unit A
Salinas, CA 93907
Phone (760) 371-7506

9850 Carmel Mountain Rd
San Diego, CA 92129
Phone (805) 764-0171

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

124 Macaw Ln
Simi Valley, CA 93065
Phone (805) 306-0304

2750 Sycamore Dr
Ste 202
Simi Valley, CA 93065
Phone (805) 527-9140

555 W Benjamin Holt Dr
Ste 200
Stockton, CA 95207
Phone (661) 725-1370

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600

30730 Russell Ranch Rd
Ste A
Westlake Village, CA 91362
Phone (805) 643-7549

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1952803462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2996 KILAINE DR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632174",
            "telephone_number": "805-587-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2996 KILAINE DR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632174",
            "telephone_number": "805-587-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "LAURA",
        "middle_name": "BISACCIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95008640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.