Davina M Lujan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M-1053 Issued in GU

Practice address

250 Route 4
Suite 203
Hagatna, GU 96910-7110

Phone

(671) 475-6500

NPI assigned

Jun 16, 2006

Last updated

Apr 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GU

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1003850462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 ROUTE 4",
            "address_2": "SUITE 203",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969107110",
            "telephone_number": "671-475-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ROUTE 4",
            "address_2": "SUITE 203",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969107110",
            "telephone_number": "671-475-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUJAN",
        "first_name": "DAVINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GU",
            "license": "M-1053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H104727",
            "state": "GU"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "M-1053",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doris LG Leon Guerrero, M.S.W.M.P.H. I.M.F.T
• LG&H Internal Medicine Clinic
• Tricia Atoigue Lizama, MSW
• Suzanne Dela Rosa Lobaton, DNP, APRN, FNP-BC
• Courtney Lomboy, FNP
• Shaine Francis Tydingco Munoz, PT, DPT
• Lisalinda Salas Natividad, MSW
• Olivia T. Cruz, MD, PC
• Victor M Perez, MD
• Juan Rapadas, PH.D.

• Family Medicine Physician in Hagatna, GU
• Providers in Hagatna, GU by specialty
• Family Medicine Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.