Individual provider Active NPI

Lynn Marie Pipitone, FNP

  • Family Nurse Practitioner
  • Mission Viejo, CA
National Provider Identifier
1194300442
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016928 Issued in CA
Practice address
26932 Oso Pkwy Ste 270
Mission Viejo, CA 92691-5810
Phone
(949) 600-5325
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95016928 CA Primary

Addresses

Primary practice location

26932 Oso Pkwy Ste 270
Mission Viejo, CA 92691-5810

Mailing address

2859 Calle Heraldo
San Clemente, CA 92673-3572
Phone (949) 632-3605

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
I20210405000944 CA Practitioner - Nurse Practitioner 6709293004 Reassigns benefits to 2 organizations

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

Practice addresses (Care Compare)

3252 Holiday CT
Suite 208
La Jolla, CA 92037-1808
Phone (858) 247-0244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95016928CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Array Skin Therapy, a Medical Corporation CurrentSince Mar 14, 2021 Accepting new patients
LP Health CurrentSince Oct 9, 2023 Accepting new patients

Locations

3252 Holiday Ct
Ste 208
La Jolla, CA 92037
Phone (858) 247-0242

26932 Oso Pkwy
Ste 270
Mission Viejo, CA 92691
Phone (714) 313-9668

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": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1194300442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 CALLE HERALDO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733572",
            "telephone_number": "949-632-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26932 OSO PKWY STE 270",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915810",
            "telephone_number": "949-600-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPITONE",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.