Active NPI
Allan Escamilla Lebrilla
- Adult Psychiatric/Mental Health Registered Nurse
- Lancaster, CA
National Provider Identifier
1194382101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 645756
- Practice address
- 1600 W Avenue J
Lancaster, CA 93534-2814 - Phone
- (661) 949-5000
- NPI assigned
- May 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 645756 | CA | Primary |
Addresses
Primary practice location
1600 W Avenue J
Lancaster, CA 93534-2814
Mailing address
6135 W Avenue J13
Lancaster, CA 93536-1767
Phone (661) 998-4418
Other practice location 1
6135 W Avenue J13
Lancaster, CA 93536-1767
Phone (661) 949-5000 ext. 5250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 645756 | CA | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1194382101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6135 W AVENUE J13",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935361767",
"telephone_number": "661-998-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W AVENUE J",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342814",
"telephone_number": "661-949-5000"
}
],
"practiceLocations": [
{
"address_1": "6135 W Avenue J13",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "CA",
"postal_code": "935361767",
"country_code": "US",
"telephone_number": "661-949-5000 x5250",
"fax_number": "661-949-5238",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEBRILLA",
"first_name": "ALLAN",
"middle_name": "ESCAMILLA",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-24",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "CA",
"license": "645756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.