Individual provider Active NPI

Jennifer L Lujan, PHLEBOTOMIST

  • Phlebotomy Technician
  • Rancho Santa Margarita, CA
National Provider Identifier
1265138127
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
CPT01015452 Issued in CA
Practice address
16 Las Piedras
Rancho Santa Margarita, CA 92688-1627
Phone
(949) 460-3316
Fax
(949) 329-6566
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X CPT01015452 CA Primary

Addresses

Primary practice location

16 Las Piedras
Rancho Santa Margarita, CA 92688-1627

Mailing address

16 Las Piedras
Rancho Santa Margarita, CA 92688-1627
Phone (949) 460-3316

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
CPT01015452CAMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
JL Mobile Phlebotomy LLC Single Specialty CurrentSince Jan 28, 2024 Accepting new patients

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": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1265138127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LAS PIEDRAS",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926881627",
            "telephone_number": "949-460-3316",
            "fax_number": "949-329-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LAS PIEDRAS",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926881627",
            "telephone_number": "949-460-3316",
            "fax_number": "949-329-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUJAN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2024-01-17",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "CPT01015452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.