Lucia Fajardo, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

806303 Issued in CA

Practice address

7908 Rancho Fanita Dr SPC 20
Santee, CA 92071-3421

Phone

(619) 900-5365

NPI assigned

Apr 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJFCBA

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.

• South Bay Geriatric and Internal Medicine Inc

  • Legal Medicine
  • Chula Vista, CA
  • NPI 1801192497
  Medicare reassignment NPD
• Lomita Family Medical Group Inc

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1336249531
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1255864849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7908 RANCHO FANITA DR SPC 20",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713421",
            "telephone_number": "619-900-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7908 RANCHO FANITA DR SPC 20",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713421",
            "telephone_number": "619-900-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "LUCIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "806303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Estrada, MT
• Farah Krisna Etrata
• Michael Torrevillas Evardone, LVN
• Samantha Everette, OTR/L
• Chloe Love Fairman, DDS
• Jessica Lee Falcone Torres
• Katelyn Farr, COTA/L
• Lisa Ferguson, D.D.S.
• Ma. Criselda Bayalan Ferrer
• Viet My Nguyen-Ngo Ferrer

• Family Nurse Practitioner in Santee, CA
• Providers in Santee, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.