Individual provider Active NPI

Jenet Langjahr, FNP

  • Nurse Practitioner
  • Lancaster, CA
National Provider Identifier
1356301162
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8422 Issued in CA
Practice address
1523 W Avenue J
Suite #7
Lancaster, CA 93534-2819
Phone
(661) 945-2221
Fax
(661) 945-0831
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8422 CA Primary

Addresses

Primary practice location

1523 W Avenue J
Suite #7
Lancaster, CA 93534-2819

Mailing address

1523 W Avenue J
Suite #7
Lancaster, CA 93534-2819
Phone (661) 945-2221

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
I20040617001474 CA Practitioner - Nurse Practitioner 2264416981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Av Pediatrics Medical Associates. Inc.Group PAC ID 8628052404, 5 clinicians

Practice addresses (Care Compare)

1523 W Ave J
Suite 7
Lancaster, CA 93534-2819
Phone (661) 945-2221

Hospital & facility affiliations

  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056
  • Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1356301162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 W AVENUE J",
            "address_2": "SUITE #7",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342819",
            "telephone_number": "661-945-2221",
            "fax_number": "661-945-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 W AVENUE J",
            "address_2": "SUITE #7",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342819",
            "telephone_number": "661-945-2221",
            "fax_number": "661-945-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGJAHR",
        "first_name": "JENET",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "8422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.