Nicki Brenda Lujano

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-NQHTYC Issued in CA

Practice address

2550 W Clinton Ave
Building a, Suite 116
Fresno, CA 93705-4227

Phone

(559) 408-4643

NPI assigned

Feb 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1487245395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W CLINTON AVE",
            "address_2": "BUILDING A & H, SUITE 116",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937054227",
            "telephone_number": "559-408-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W CLINTON AVE",
            "address_2": "BUILDING A, SUITE 116",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937054227",
            "telephone_number": "559-408-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUJANO",
        "first_name": "NICKI",
        "middle_name": "BRENDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "12171",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-NQHTYC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lujan
• James Lujan, LCSW
• Joe M Lujan, MS PPS
• Jacqueline Marie Lujano
• Kellee Jean Lujano
• William Lujano, SUDRC 22896
• Nicole Rene Luk, PH.D.
• Peter Luk, L. AC.
• Samantha Oi-Yee Luk, PHARMD
• Cashmir Luke, PHARMD/MBA

• Peer Specialist in Fresno, CA
• Providers in Fresno, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.