Active NPI
Blue Lotus Health LLC
- Urgent Care Clinic/Center
- Mountain House, CA
National Provider Identifier
1427952563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- BLUE LOTUS HEALTH LLC
- Practice address
- 922 S Tupper CT
Mountain House, CA 95391-1426 - Phone
- (510) 736-9104
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Nesren Anton, NP
- Title
- Nurse Practitioner
- Phone
- (510) 736-9104
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary |
Addresses
Primary practice location
922 S Tupper CT
Mountain House, CA 95391-1426
Mailing address
922 S Tupper CT
Mountain House, CA 95391-1426
Phone (510) 736-9104
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Primary Care Nurse Practitioner
- Modesto, CA
- NPI 1316504541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791158400000",
"number": "1427952563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 S TUPPER CT",
"city": "MOUNTAIN HOUSE",
"state": "CA",
"postal_code": "953911426",
"telephone_number": "510-736-9104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 S TUPPER CT",
"city": "MOUNTAIN HOUSE",
"state": "CA",
"postal_code": "953911426",
"telephone_number": "510-736-9104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE LOTUS HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-03",
"status": "A",
"authorized_official_last_name": "ANTON",
"authorized_official_first_name": "NESREN",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "510-736-9104",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain House, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.