Kelsey San Miguel Lor

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95029835 Issued in CA

Practice address

7483 Jersey St
Chino, CA 91708-9134

Phone

(909) 851-2129

NPI assigned

Jul 26, 2024

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prohealth Partners, a Medical Group

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1003949975
  Medicare reassignment NPD
• Prohealth Partners a Medical Group Inc

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1447382411
  NPD
• Prohealth Partners, a Medical Group, Inc.

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1356474852
  NPD
• Prohealth Partners, a Medical Group, Inc.

  • Internal Medicine Physician
  • Pico Rivera, CA
  • NPI 1912899394
  NPD
• Prohealth Partners a Medical Group Inc

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1093848509
  NPD (past)

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1023847365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7483 JERSEY ST",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917089134",
            "telephone_number": "909-851-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7483 JERSEY ST",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917089134",
            "telephone_number": "909-851-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOR",
        "first_name": "KELSEY",
        "middle_name": "SAN MIGUEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95029835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Dominic Lopez, MFT
• Elizabeth Tayde Lopez, RN, FNP-C
• Joel Lopez
• Marissa Lopez, LCSW
• Robert Lopez, M.D.
• Teresa Louie, FNP-C
• Lovelia Lane
• Alisa Lozano
• Lu Che, DDS, Inc.
• Kuei Hung Lu, L.AC.

• Nurse Practitioner in Chino, CA
• Providers in Chino, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.