Active NPI
Lyra Fumiko Ronquillo Chua
- Nurse Practitioner
- Napa, CA
National Provider Identifier
1407404387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95014510
- Practice address
- 2160 Jefferson St Ste 260
Napa, CA 94559-1252 - Phone
- (707) 259-0700
- NPI assigned
- Sep 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95014510 | CA | Primary |
Addresses
Primary practice location
2160 Jefferson St Ste 260
Napa, CA 94559-1252
Mailing address
2160 Jefferson St Ste 260
Napa, CA 94559-1252
Phone (707) 259-0700
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95014510 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1407404387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 JEFFERSON ST STE 260",
"city": "NAPA",
"state": "CA",
"postal_code": "945591252",
"telephone_number": "707-259-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 JEFFERSON ST STE 260",
"city": "NAPA",
"state": "CA",
"postal_code": "945591252",
"telephone_number": "707-259-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUA",
"first_name": "LYRA FUMIKO",
"middle_name": "RONQUILLO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-03",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95014510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.