Individual provider Active NPI

Lena Kuang, FNP-C

  • Family Nurse Practitioner
  • Covina, CA
National Provider Identifier
1588056063
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002135 Issued in CA
Practice address
203 W Badillo St
Covina, CA 91723-1907
Phone
(626) 732-8350
NPI assigned
Feb 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95002135 CA Primary

Addresses

Primary practice location

203 W Badillo St
Covina, CA 91723-1907

Mailing address

1040 Elm Ave
Long Beach, CA 90813-3264
Phone (562) 624-1111

Other practice location 1

1040 Elm Ave
Long Beach, CA 90813-3264
Phone (562) 624-1111

Other practice location 2

1305 W Arrow Hwy Ste 104
San Dimas, CA 91773-2337
Phone (909) 394-9004

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
I20240207003551 CA Practitioner - Nurse Practitioner 8224471115 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95002135CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emanate Health Medical Care Foundation CurrentSince Jan 1, 2024 Accepting new patients
Emanate Health Medical Group Past Accepting new patients

Locations

1041 W Badillo St
Ste 104
Covina, CA 91722
Phone (626) 732-4168

203 W Badillo St
Covina, CA 91723
Phone (626) 332-6238

1305 W Arrow Hwy
Ste 104
San Dimas, CA 91773
Phone (909) 394-9004

1115 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 732-8390

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1588056063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 ELM AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133264",
            "telephone_number": "562-624-1111",
            "fax_number": "562-624-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231907",
            "telephone_number": "626-732-8350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 Elm Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908133264",
            "country_code": "US",
            "telephone_number": "562-624-1111",
            "fax_number": "562-624-1115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 W Arrow Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Dimas",
            "state": "CA",
            "postal_code": "917732337",
            "country_code": "US",
            "telephone_number": "909-394-9004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUANG",
        "first_name": "LENA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.