Individual provider Active NPI

Anna Suzette Lobo

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1417416702
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95014000 Issued in CA
Practice address
2949 Easy Ave
Long Beach, CA 90810-2848
Phone
(224) 522-0128
NPI assigned
Mar 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209018108 IL
Family Nurse Practitioner 363LF0000X NP95014000 CA Primary

Addresses

Primary practice location

2949 Easy Ave
Long Beach, CA 90810-2848

Mailing address

2949 Easy Ave
Long Beach, CA 90810-2848

Other practice location 1

4051 N Lincoln Ave
Chicago, IL 60618-3009
Phone (773) 871-2611

Other practice location 2

948 N Damen Ave
Chicago, IL 60622-4910
Phone (773) 276-2655

Other practice location 3

2900 N Sepulveda Blvd
Manhattan Beach, CA 90266-2730
Phone (310) 546-3481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190501000949 IL Practitioner - Nurse Practitioner 7517209109 Reassigns benefits to 2 organizations
I20210513003098 CA Practitioner - Nurse Practitioner 7517209109 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP95014000CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Apr 7, 2022 Accepting new patients
Cardiac Vision LLC CurrentSince Mar 4, 2019 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Feb 16, 2021 Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

2900 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone 3105463481 ext. 8221

2791 Agoura Rd
Westlake Village, CA 91361
Phone 8054954938 ext. 8221

4051 N Lincoln Ave
Chicago, IL 60618
Phone (773) 871-2611

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

Organizations & group practices 4

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": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1417416702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 EASY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908102848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 EASY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908102848",
            "telephone_number": "224-522-0128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4051 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606183009",
            "country_code": "US",
            "telephone_number": "773-871-2611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "948 N Damen Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606224910",
            "country_code": "US",
            "telephone_number": "773-276-2655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 N Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902662730",
            "country_code": "US",
            "telephone_number": "310-546-3481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOBO",
        "first_name": "ANNA SUZETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018108",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95014000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.