Individual provider Active NPI

Stephanie Lujano, LVN

  • Licensed Vocational Nurse
  • Wasco, CA
National Provider Identifier
1295380715
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
684396 Issued in CA
Practice address
2101 7TH St
Wasco, CA 93280-1502
Phone
(661) 619-5047
Fax
(661) 758-8132
NPI assigned
Aug 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 684396 CA Primary

Addresses

Primary practice location

2101 7TH St
Wasco, CA 93280-1502

Mailing address

231 9TH St
Bakersfield, CA 93304-1613
Phone (661) 331-4401

Other practice location 1

21138 Paso Robles Hwy
Lost Hills, CA 93249
Phone (661) 619-5047

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
684396CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1295380715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 9TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933041613",
            "telephone_number": "661-331-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 7TH ST",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932801502",
            "telephone_number": "661-619-5047",
            "fax_number": "661-758-8132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21138 Paso Robles Hwy",
            "address_purpose": "LOCATION",
            "city": "Lost Hills",
            "state": "CA",
            "postal_code": "93249",
            "country_code": "US",
            "telephone_number": "661-619-5047",
            "fax_number": "661-630-7541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUJANO",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "684396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.