Lesli Close Juncaj, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

13516 Issued in CA

Practice address

1401 Avocado Ave Ste 709
Newport Beach, CA 92660-8714

Phone

(949) 759-1720

Fax

(949) 759-1442

NPI assigned

Mar 19, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Coastal Kids, a Professional Medical Corporation

  • Pediatrics Physician
  • Newport Beach, CA
  • NPI 1740311737
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1174647739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 709",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608714",
            "telephone_number": "949-759-1720",
            "fax_number": "949-759-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 709",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608714",
            "telephone_number": "949-759-1720",
            "fax_number": "949-759-1442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Corporate Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ladera Ranch",
            "state": "CA",
            "postal_code": "926942179",
            "country_code": "US",
            "telephone_number": "949-347-7200",
            "fax_number": "949-347-7217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOSE JUNCAJ",
        "first_name": "LESLI",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "13516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Touchstone Clayton, MD
• Clear Mind Marriage and Family Therapy, Inc
• Joy Ostensen Cleary, LCSW, PPSC
• Freda Summer Cleveland
• Dana Clifford, RPH
• Jadwiga Julia Close, M.D.
• William Hawley Cloud, M.D.
• Aaron Richard Clousing, NP
• CM Providers Medical Group, PC
• Coast OB-GYN

• Pediatric Nurse Practitioner in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.