Individual provider Active NPI

Dana Lynn Lambrose, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1649545328
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NPF 21628 Issued in CA
Practice address
1055 Wilshire Blvd Ste 1705
Los Angeles, CA 90017-5600
Phone
(714) 661-9032
Fax
(714) 963-7302
NPI assigned
Mar 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201508192NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NPF 21628 CA Primary

Addresses

Primary practice location

1055 Wilshire Blvd Ste 1705
Los Angeles, CA 90017-5600

Mailing address

9801 Olympic Dr
Huntington Beach, CA 92646-4848
Phone (714) 661-9032

Other practice location 1

9801 Olympic Dr
Huntington Beach, CA 92646-4848
Phone (714) 661-9032

Other practice location 2

6901 SE Lake Rd
Milwaukie, OR 97267-2102
Phone (949) 929-9799

Other identifiers 1

IdentifierTypeStateIssuer
NP2162800MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NPF 21628CAMDPsychiatric/Mental Health Nurse Practitioner
201508192NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dana NP: Advanced Practice Psychiatric Nursing, Inc. CurrentSince Sep 6, 2020 Accepting new patients
Bellstone Mental Health CurrentSince Mar 27, 2022 Accepting new patients

Locations

6901 SE Lake Rd
Portland, OR 97267
Phone (503) 317-5227

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": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1649545328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 OLYMPIC DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926464848",
            "telephone_number": "714-661-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 WILSHIRE BLVD STE 1705",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175600",
            "telephone_number": "714-661-9032",
            "fax_number": "714-963-7302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9801 Olympic Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926464848",
            "country_code": "US",
            "telephone_number": "714-661-9032",
            "fax_number": "714-963-7302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6901 SE Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "972672102",
            "country_code": "US",
            "telephone_number": "949-929-9799",
            "fax_number": "714-963-7302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBROSE",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201508192NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NPF 21628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2162800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.