Alejandro Lujano, BOCO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

C51121 Issued in CA

Practice address

1835 Chicago Ave Ste a
Riverside, CA 92507-2309

Phone

(909) 477-3117

Fax

(909) 303-9244

NPI assigned

Jul 1, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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.

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1104496009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15271 COLUMBIA LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472528",
            "telephone_number": "949-510-4176",
            "fax_number": "951-394-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 CHICAGO AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072309",
            "telephone_number": "909-477-3117",
            "fax_number": "909-303-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUJANO",
        "first_name": "ALEJANDRO",
        "credential": "BOCO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "CA",
            "license": "C51121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC",
            "identifier": "C51121",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "9093039244",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1835 Chicago Ave Ste A",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925072309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Oscar Lugo Mendez
• Alejandra Lugo-Zavala
• Tamika Shawn'Ta Lugo, CADCIII
• Amanda Luis, CADC II
• Bryan Luis
• Sarah Alexis Lujano
• Chandra Luke
• Olivia Erin Luke
• Angela Lumapas
• Lumina Family Care, Inc.

• Orthotist in Riverside, CA
• Providers in Riverside, CA by specialty
• Orthotist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.