Jennifer Pongpungam, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

542305 Issued in CA

Practice address

335 E Avenue I Ste 24
Lancaster, CA 93535-1916

Phone

(661) 471-4561

NPI assigned

Jun 26, 2017

Last updated

Jun 26, 2017By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498435200000",
    "number": "1417477860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E AVENUE I",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935351916",
            "telephone_number": "661-471-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E AVENUE I STE 24",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935351916",
            "telephone_number": "661-471-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONGPUNGAM",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CA",
            "license": "542305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marquetta Lauren Pollard, FULL SPECTRUM DOULA
• Christine Riskey Pollock, MSW
• Jennifer Pommerenk, M.A., LMFT
• Chelsea Berenice Ponce
• Maria Ponce, CMA, BSHCA
• Ponnamma Chenanda, M.D., Inc
• Mangairkarasie Poopalan, M.D.
• Krystal Pope, PHD
• Folasade Popoola, RN
• Shawnte' L Porchia

• Ambulatory Care Registered Nurse in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Ambulatory Care Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.