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LARA CAMILLE SIMAN DE LEON NP
NPI 1104336833
Nurse Practitioner - Acute Care in Los Angeles, CA

Active since October 09, 2017PECOS EnrolledAccepts Medicare Assignment
757 WESTWOOD PLZ, LOS ANGELES, CA 90095(310) 825-9111 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2021, Nov 5, 2019, Sep 9, 2019 and 1 more (4 updates tracked since 2017).

About Lara Camille Siman De Leon Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARA CAMILLE SIMAN DE LEON NP (NPI 1104336833) is an individual acute care provider in Los Angeles, California, licensed in California (95007024) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104336833
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLARA CAMILLE SIMAN DE LEONCredential: NP
Location Address757 WESTWOOD PLZLos Angeles, CA 90095-2716
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 825-9111
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 9, 2017
Last NPPES UpdateAugust 18, 20214 updates tracked since enumeration
NPPES CertifiedAugust 18, 2021
✔ NPI 1104336833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95007024
Also ListedRegistered NurseTaxonomy 163W00000X · License 796719 (CA)
757 WESTWOOD PLZ, Los Angeles, CA 90095
Open in Google Maps ↗

Other Names 1

Former Name (1)Lara Camille Cruz Np

Secondary Practice Locations 2

Location 12120 Las Colinas AveLos Angeles, CA 90041-2716 · Phone (323) 304-4867
Location 2200 Ucla Medical Plz Ste 214Los Angeles, CA 90095-2716 · Phone (310) 794-7788 · Fax (310) 794-1039

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lara Camille Siman De Leon Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092046847
PECOS Enrollment IDI20191009003274
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE CHA MD
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-8041
DR. TIFFANY PRUGPICHAILERS PEDIGO M.D.
Pediatrics
757 WESTWOOD PLZ, B711 RRUMC
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9129
SAMRAWIT ABRAHA
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-6629
KEN DEKITANI
Internal Medicine
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-7849
LAUREN M NESI
Urology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7700
JACQUELINE LABINS MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-0903
JYODI DINESH MOHOLE MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9132
JASON THAMES HUYNH MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-7375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lara Camille De Leon's NPI number?

The NPI number for Lara Camille De Leon is 1104336833. It was assigned to this individual provider in the NPPES registry on October 9, 2017. The provider is also known as Lara Camille Cruz Np.

Where is Lara Camille De Leon located?

Lara Camille De Leon practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 825-9111.

What is Lara Camille De Leon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lara Camille De Leon enrolled in Medicare?

Yes. Lara Camille De Leon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lara Camille De Leon was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.