Lean Carlo Mendoza Losinio, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

NP0211 Issued in GU

Practice address

520 W Santa Monica Ave
Dededo, GU 96929-5286

Phone

(671) 635-4422

Fax

(671) 635-7493

NPI assigned

Jan 30, 2020

Last updated

Jan 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1497386353",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "113 N LEMAI CT",
            "city": "DEDEDO",
            "state": "GUAM",
            "postal_code": "96929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W SANTA MONICA AVE",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969295286",
            "telephone_number": "671-635-4422",
            "fax_number": "671-635-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSINIO",
        "first_name": "LEAN CARLO",
        "middle_name": "MENDOZA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GU",
            "license": "NP0211",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GU",
            "license": "NP0211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lena Leishman, NP-C, RN, BSN
• Andrea Marie Leitheiser, MA, PHD
• Nancy Lentz, M.D.
• Pei-Chang Liu, M.D., M.P.H
• Virgilio Ignacio Lopez, M.D.
• Lilia Lynch
• Ben Malabanan Jr., D.D.S.
• Edison Pineda Manaloto, M.D.
• Mariano Prime Limited Liability (Mega Drug III)
• Mariano Prime Limited Liability (Mega Drug II)

• Advanced Practice Midwife in Dededo, GU
• Providers in Dededo, GU by specialty
• Advanced Practice Midwife in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.