Individual provider Active NPI

Jessica Lampkin

  • Orthotist
  • Ontario, CA
National Provider Identifier
1235709007
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
331950 Issued in CA
Practice address
603 S Milliken Ave Ste F
Ontario, CA 91761-8102
Phone
(909) 390-2466
Fax
(909) 912-8152
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 331950 CA Primary

Addresses

Primary practice location

603 S Milliken Ave Ste F
Ontario, CA 91761-8102

Mailing address

603 S Milliken Ave Ste F
Ontario, CA 91761-8102
Phone (909) 390-2466

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL theevolveeffect@gmail.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
331950CAMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
The Evolve Effect CurrentSince Aug 28, 2022 Accepting new patients

Locations

920 N Central Ave
Upland, CA 91786
Phone (909) 906-6774

Organizations & group practices 1

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1235709007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 S MILLIKEN AVE STE F",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618102",
            "telephone_number": "909-390-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S MILLIKEN AVE STE F",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618102",
            "telephone_number": "909-390-2466",
            "fax_number": "909-912-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPKIN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "CA",
            "license": "331950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "theevolveeffect@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "920 N Central Ave",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917863530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.