Johanna Andrea Lancheros

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95038933 Issued in CA

Practice address

510 Plaza Dr Ste 170
Folsom, CA 95630-4790

Phone

(916) 351-9400

Fax

(916) 351-9449

NPI assigned

Oct 29, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

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            "address_1": "1274 W BASELINE RD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112152",
            "telephone_number": "909-293-6631"
        },
        {
            "country_code": "US",
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    "practiceLocations": [
        {
            "address_1": "2386 Fair Oaks Blvd",
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            "address_1": "9381 E Stockton Blvd Ste 220",
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            "address_1": "888 4th St Ste 12",
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        {
            "address_1": "7177 Brockton Ave Ste 444A",
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        {
            "address_1": "509 13th St Ste 8",
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            "address_1": "2222 Pacific Ave",
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            "address_1": "5441 Aldrin Ct Ste A",
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        {
            "address_1": "1245 W 6th St",
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            "state": "CA",
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        {
            "address_1": "225 W Hospitality Ln # 225201P",
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            "city": "San Bernardino",
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            "country_code": "US",
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        {
            "address_1": "1501 W Cameron Ave Ste 300-129",
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            "state": "CA",
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        },
        {
            "address_1": "55 Hitchcock Way Ste 209",
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            "city": "Santa Barbara",
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        {
            "address_1": "30 E San Joaquin St Ste 203B",
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            "country_code": "US",
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        {
            "address_1": "634 H St",
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            "city": "Eureka",
            "state": "CA",
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        {
            "address_1": "1825 N Oxnard Blvd Ste 19",
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        {
            "address_1": "355 W Olive Ave Ste 3",
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        {
            "address_1": "622 Jackson St Unit 103",
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            "city": "Fairfield",
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            "address_1": "2008 W Dorothea Ave Ste 203",
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            "state": "CA",
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        },
        {
            "address_1": "169 Hartnell Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
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        },
        {
            "address_1": "3711 Long Beach Blvd Ste 4045",
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            "city": "Long Beach",
            "state": "CA",
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        },
        {
            "address_1": "1372 N Main St Ste 206-1",
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            "city": "Walnut Creek",
            "state": "CA",
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            "country_code": "US",
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            "country_name": "United States",
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        },
        {
            "address_1": "2955 Main St Ste 110-K",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
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            "country_code": "US",
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            "fax_number": "916-351-9449",
            "country_name": "United States",
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        },
        {
            "address_1": "2062 Talbert Dr Ste 100",
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            "city": "Chico",
            "state": "CA",
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            "country_code": "US",
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            "fax_number": "916-351-9449",
            "country_name": "United States",
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        },
        {
            "address_1": "4025 N Fresno St",
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            "city": "Fresno",
            "state": "CA",
            "postal_code": "937264026",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2440 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956617773",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44240 Fremont Blvd",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945386000",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1274 W Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "CA",
            "postal_code": "917112152",
            "country_code": "US",
            "telephone_number": "909-293-6631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANCHEROS",
        "first_name": "JOHANNA",
        "middle_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "815071",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "253245",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95038933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ping Ann Lai
• Elizabeth Nicole Lake, MA, BCBA/LBA
• Shirley Lam
• Karyn J Lamb
• Lance Metsger DMD PC
• Ngoc Khanh Landero
• Heidi Ann Langan, PT
• Andrew W Langdon, PSY.D.
• Jolee Elaine Lange
• Anderson Lao, OD

• Psychiatric/Mental Health Nurse Practitioner in Folsom, CA
• Providers in Folsom, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.