Individual provider Active NPI

Jonathan Lahuynh, APRN

  • Nurse Practitioner
  • La Mesa, CA
National Provider Identifier
1063188670
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95033986 Issued in CA
Practice address
8851 Center Dr Ste 505
La Mesa, CA 91942-3059
Phone
(619) 461-3880
Fax
(619) 461-3895
NPI assigned
Aug 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95033986 CA Primary

Addresses

Primary practice location

8851 Center Dr Ste 505
La Mesa, CA 91942-3059

Mailing address

9373 Hazard Way Ste 200
San Diego, CA 92123-1226
Phone (858) 810-8000

Other practice location 1

4225 Executive Sq Ste 450
LA Jolla, CA 92037-8411
Phone (858) 798-6123

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250311002807 CA Practitioner - Nurse Practitioner 1052832680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11100 Warner Ave
Suite 218
Fountain Valley, CA 92708-7511
Phone (714) 641-9696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95033986CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Balboa Nephrology Medical Group, Inc. Nephrology CurrentSince Mar 24, 2025 Accepting new patients
Balboa Nephrology Medical Group,Inc. CurrentSince Mar 24, 2025 Accepting new patients

Locations

11100 Warner Ave
Ste 218
Fountain Vly, CA 92708
Phone (714) 424-0290

4225 Executive Sq
Ste 450
La Jolla, CA 92037
Phone (858) 810-8000

8851 Center Dr
Ste 505
La Mesa, CA 91942
Phone (619) 461-3880

4060 4th Ave
Ste 220
San Diego, CA 92103
Phone (619) 299-2350

9373 Hazard Way
Ste 200
San Diego, CA 92123
Phone (858) 810-8000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jlahuynh74399@direct.acumenmd.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1063188670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9373 HAZARD WAY STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231226",
            "telephone_number": "858-810-8000",
            "fax_number": "858-268-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR STE 505",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423059",
            "telephone_number": "619-461-3880",
            "fax_number": "619-461-3895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4225 Executive Sq Ste 450",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920378411",
            "country_code": "US",
            "telephone_number": "858-798-6123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAHUYNH",
        "first_name": "JONATHAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95033986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.