Individual provider Active NPI

Alejandra Lugo, FNP-C

  • Family Nurse Practitioner
  • Turlock, CA
National Provider Identifier
1104235688
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016738 Issued in CA
Practice address
1739 Colorado Ave
Turlock, CA 95382-2714
Phone
(209) 448-3000
NPI assigned
Aug 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 790538 CA
Community Health Registered Nurse 163WC1500X 85719 CA
Family Nurse Practitioner 363LF0000X 95016738 CA Primary

Addresses

Primary practice location

1739 Colorado Ave
Turlock, CA 95382-2714

Mailing address

1739 Colorado Ave
Turlock, CA 95382-2714
Phone (209) 448-3000

Other practice location 1

1317 Oakdale Rd Ste 440
Modesto, CA 95355-3364
Phone (209) 522-3362

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
I20210701003156 CA Practitioner - Nurse Practitioner 5092116798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family First Medical Care a Professional Corporation 17 clinicians

Practice addresses (Care Compare)

1317 Oakdale Rd
Suite 440
Modesto, CA 95355-3364
Phone (209) 522-3362

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
790538CAMDRegistered Nurse
85719CAMDCommunity Health Registered Nurse
95016738CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Medical Care a Professional Corporation CurrentSince Jun 15, 2021 Accepting new patients
Family First Medical Care a Professional Corporation CurrentSince Jun 15, 2021 Accepting new patients

Locations

1317 Oakdale Rd
Ste 440
Modesto, CA 95355
Phone (209) 522-3362

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": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1104235688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822714",
            "telephone_number": "209-448-3000",
            "fax_number": "209-442-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822714",
            "telephone_number": "209-448-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317 Oakdale Rd Ste 440",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953553364",
            "country_code": "US",
            "telephone_number": "209-522-3362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUGO",
        "first_name": "ALEJANDRA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "790538",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "85719",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.