Individual provider Active NPI

Lanigail Pangilinan

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1619515293
Registry record updated Dec 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013515 Issued in CA
Practice address
2610 E Nees Ave Apt 109
Fresno, CA 93720-6014
Phone
(323) 382-5160
NPI assigned
Dec 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2019

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 95013515 CA Primary

Addresses

Primary practice location

2610 E Nees Ave Apt 109
Fresno, CA 93720-6014

Mailing address

2610 E Nees Ave Apt 109
Fresno, CA 93720-6014
Phone (323) 382-5160

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
I20200217004843 CA Practitioner - Nurse Practitioner 5395172142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Nephrology Group IncGroup PAC ID 4688767262, 50 clinicians

Practice addresses (Care Compare)

568 E Herndon Ave
Suite 201
Fresno, CA 93720-2989
Phone (559) 228-9660

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Nephrology Group, Inc. Clinical Lab CurrentSince Dec 23, 2019 Accepting new patients
The Nephrology Group, Inc. Nephrology Current Accepting new patients

Locations

3933 Coffee Rd
#B
Bakersfield, CA 93308
Phone (661) 588-9999

568 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 228-9660

568 E Herndon Ave
Ste 104
Fresno, CA 93720

900 N Douty St
#B
Hanford, CA 93230
Phone (559) 325-7775

800 N St
Sanger, CA 93657
Phone (559) 875-5545

233 E Caldwell Ave
Visalia, CA 93277
Phone (559) 475-0431

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": "1576281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576281600000",
    "number": "1619515293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 E NEES AVE APT 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937206014",
            "telephone_number": "323-382-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 E NEES AVE APT 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937206014",
            "telephone_number": "323-382-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGILINAN",
        "first_name": "LANIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-14",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.