Jacqueline Santos Lumalu, CRNA, MSN ACNP-BC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

NA95001428 Issued in CA

Practice address

1500 San Pablo St
Los Angeles, CA 90033-5313

Phone

(323) 442-7400

NPI assigned

Apr 8, 2016

Last updated

May 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

University of Southern California Keck School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SCQ Anesthesia a Professional Nursing CorporationGroup PAC ID 9436520814, 15 clinicians

Precision Anesthesia Group IncGroup PAC ID 6204145105, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SCQ Anesthesia a Professional Nursing Corporation

  • Certified Registered Nurse Anesthetist
  • Tarzana, CA
  • NPI 1689381105

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Precision Anesthesia Group Inc

  • Specialist
  • Beverly Hills, CA
  • NPI 1205253929
  Medicare reassignment Care Compare group
• Apa Medical Group, Inc.

  • Anesthesiology Physician
  • Camarillo, CA
  • NPI 1700596111
  Medicare reassignment NPD
• City of Hope Medical Foundation

  dba City of Hope Duarte

  • Hematology & Oncology Physician
  • Duarte, CA
  • NPI 1871886366
  Medicare reassignment NPD
• Tower Anesthesia Associates Inc

  • Anesthesiology Physician
  • Beverly Hills, CA
  • NPI 1407370901
  Medicare reassignment NPD
• Usc Care Medical Group, Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1902846306
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  NPD
• Usc Care Medical Group, Inc

  dba Fair Oaks Clinic

  • Durable Medical Equipment & Medical Supplies
  • Pasadena, CA
  • NPI 1427937390
  NPD
• Apmc Medical Group Inc

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1184592982
  NPD (past)
• National Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Los Gatos, CA
  • NPI 1649500950
  NPD (past)
• San Fernando Valley Vascular Group a Medical Corporation

  • Specialist
  • Tarzana, CA
  • NPI 1518014463
  NPD (past)

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1275997066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-442-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "323-442-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMALU",
        "first_name": "JACQUELINE",
        "middle_name": "SANTOS",
        "credential": "CRNA, MSN ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2025-05-27",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "23720",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA95001428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5601 De Soto Ave",
            "city": "Woodland Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913676701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Lum
• Ping Lum
• Robert Lum
• Luma Behavioral
• Roella Sarno Lumague
• Mary Ann Lumanog
• Noreen Marie Lumawod, PHARMD
• Jeffrey Lumaya, MSW
• Utha Andhika Lumbantobing, DNAP, CRNA
• Meryl Lumboy

• Certified Registered Nurse Anesthetist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.