Individual provider Active NPI

Lily Jhang

  • Primary Care Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1184026759
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
NP95000853 Issued in CA
Practice address
3701 J St
Sacramento, CA 95816-5562
Phone
(916) 454-2345
NPI assigned
Sep 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NP95000853 CA Primary

Addresses

Primary practice location

3701 J St
Sacramento, CA 95816-5562

Mailing address

PO Box 713
Fair Oaks, CA 95628-0713

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
I20160331001442 CA Practitioner - Nurse Practitioner 7719284082 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95000853CAMDPrimary Care Nurse Practitioner
95000853CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Elica Health Centers CurrentSince Jan 9, 2016 Accepting new patients
Elica Health Centers CurrentSince Jan 9, 2016 Accepting new patients
Elica Health Centers PastSince Nov 9, 2025 Accepting new patients

Locations

1860 Howe Ave
Ste 440
Sacramento, CA 95825

1750 Wright St
Ste 1
Sacramento, CA 95825

3701 J St
Ste 201
Sacramento, CA 95816

155 15th St
Ste A
West Sacramento, CA 95691
Phone (916) 375-8981

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15691/brand/4/csg/1/fhir/r4
  • Direct secure messaging: ljhang343061@direct.ochin.org

Organizations & group practices 3

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": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1184026759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956280713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165562",
            "telephone_number": "916-454-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JHANG",
        "first_name": "LILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP95000853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.