Individual provider Active NPI

Lynda Totah, MSN FNP

  • Family Nurse Practitioner
  • Costa Mesa, CA
National Provider Identifier
1265858971
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000442 Issued in CA
Practice address
2200 Harbor Blvd Ste B210
Costa Mesa, CA 92627-5890
Phone
(949) 548-2273
NPI assigned
Mar 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95000442 CA Primary

Addresses

Primary practice location

2200 Harbor Blvd Ste B210
Costa Mesa, CA 92627-5890

Mailing address

32565B Golden Lantern St # 504
Dana Point, CA 92629-3248
Phone (949) 466-8014

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231020001955 CA Practitioner - Nurse Practitioner 4284080698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason Kellogg MD IncGroup PAC ID 9032266127, 19 clinicians

Practice addresses (Care Compare)

17782 Cowan
Suite a
Irvine, CA 92614-6041
Phone (949) 722-7118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Kellogg M.D. Inc CurrentSince Aug 28, 2023 Accepting new patients

Locations

1715 S Cedar Ave
Fresno, CA 93702
Phone (559) 237-8377

17782 Cowan
Ste A
Irvine, CA 92614

1501 E 16th St
Newport Beach, CA 92663
Phone (714) 366-6371

1048 Irvine Ave
Newport Beach, CA 92660
Phone (949) 340-2111

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": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1265858971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32565B GOLDEN LANTERN ST # 504",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293248",
            "telephone_number": "949-466-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HARBOR BLVD STE B210",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275890",
            "telephone_number": "949-548-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTAH",
        "first_name": "LYNDA",
        "credential": "MSN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.