Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laorence Wassom, NP-C

Individual provider Family Nurse Practitioner · NPI 1578189262

Laorence Wassom, NP-C is a Nurse Practitioner in San Francisco, California. Qualified in 2020, 6 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Washington.

Years since qualifying
6
Licensed in
CA, WA
In the registry since
2020
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

170 Columbus Ave Ste 110
San Francisco, CA 94133-5160
Phone: (415) 965-8050
Fax: (415) 965-7678
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2395 Lombard St, San Francisco, CA 94123-2601 — (415) 796-2242

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP61085325 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95014763 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 95014763 (CA)

Record details

NPI number1578189262
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJune 18, 2020
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations13 on file with Medicare

Other providers in San Francisco