Individual provider Active NPI

Lynda Scales, FNP

  • Family Nurse Practitioner
  • Merced, CA
National Provider Identifier
1447611272
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004563 Issued in CA
Practice address
3349 G St
Ste F
Merced, CA 95340-0978
Phone
(209) 349-8459
NPI assigned
Mar 7, 2016
Last updated
Jan 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95004563 CA
Family Nurse Practitioner 363LF0000X 95004563 CA Primary
Registered Nurse 163W00000X 383045 CA

Addresses

Primary practice location

3349 G St
Ste F
Merced, CA 95340-0978

Mailing address

2730 Fauna CT
Merced, CA 95340-8312
Phone (209) 725-0914

Other identifiers 1

IdentifierTypeStateIssuer
383045OtherCARN

Other names 1

  • Lynda Pangan Former name

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
I20161117001391 CA Practitioner - Nurse Practitioner 5294014122 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95004563CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy S. Johnston, M.D. PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1447611272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 FAUNA CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408312",
            "telephone_number": "209-725-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 G ST",
            "address_2": "STE F",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400978",
            "telephone_number": "209-349-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALES",
        "first_name": "LYNDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95004563",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004563",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "383045",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "383045",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDA",
            "last_name": "PANGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.