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LAMONT WALLACE HORNBECK M.D. NPI 1871522664


NPI Information

NPI: 1871522664
Provider Name: LAMONT WALLACE HORNBECK, M.D.
Classification: Dermatology - 207N00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 05D0701478

Address:
729 SUNRISE AVE
SUITE 700
ROSEVILLE, CA
ZIP 95661
Phone: (916) 782-3721
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Lamont Wallace Hornbeck, M.D. is a dermatology in Roseville, CA with 50 years of experience. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. Lamont Wallace Hornbeck, M.D. NPI is 1871522664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1974

The provider's business location address is:

729 SUNRISE AVE
SUITE 700
ROSEVILLE, CA
ZIP 95661-565
Phone: (916) 782-3721
Fax: (916) 782-0618

The NPI 1871522664 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D0701478 - physician office with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Destruction of skin growth (HCPCS:17000)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips (HCPCS:11642)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)

The enumeration date for this NPI number is 7/2/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyG0517340CALIFORNIAYes
2207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyG0517340CALIFORNIAX
3207NS0135XDermatologyProcedural DermatologyG0517340CALIFORNIAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G517340MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
200G517340MEDICAIDCALIFORNIA
3A 89936MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.