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

Lara Camille Siman De Leon, NP

Individual provider Registered Nurse · NPI 1104336833

Lara Camille Siman De Leon, NP is a Nurse Practitioner in Los Angeles, California. Qualified in 2017, 9 years ago. Practices with The Regents of the University of California, a 1,414-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

757 Westwood Plz
Los Angeles, CA 90095-2716
Phone: (310) 825-9111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2120 Las Colinas Ave, Los Angeles, CA 90041-2716 — (323) 304-4867
  • 200 Ucla Medical Plz Ste 214, Los Angeles, CA 90095-2716 — (310) 794-7788

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95007024 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 796719 (CA)

Record details

NPI number1104336833
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 9, 2017
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Regents Of The University Of California — 1414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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