Jacquelyn Lucero Naster, CPO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

04331 Issued in CA

Practice address

1645 Donlon St Ste 102
Ventura, CA 93003-5667

Phone

(805) 339-0670

NPI assigned

Oct 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1194369520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 DONLON ST STE 102",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035667",
            "telephone_number": "805-339-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 DONLON ST STE 102",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035667",
            "telephone_number": "805-339-0670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3010 State St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931053304",
            "country_code": "US",
            "telephone_number": "805-687-7508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASTER",
        "first_name": "JACQUELYN",
        "middle_name": "LUCERO",
        "name_prefix": "Mrs.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "CA",
            "license": "04331",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "CA",
            "license": "04331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Taylor Ashley Nardoni, MA CCC-SLP
• Keeley Nash
• Tyler Alexander Nash
• Anthony J Nasr, M.D.
• Nathan R. Weber, MD
• Gail Nathanson, MA/CCC/SLP
• National Healthcare Pharmacy,Inc.
• National Vision, Inc.
• Maimia Orino Natividad

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.