Active NPI
Dana Lynn Lambrose, NP
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1649545328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NPF 21628
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2162800 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| NPF 21628 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 201508192NP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana NP: Advanced Practice Psychiatric Nursing, Inc. | Current | Accepting new patients | |
| Bellstone Mental Health | Current | 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.
-
- Psychiatry Physician
- Huntington Beach, CA
- NPI 1760095673
-
- Psychiatry Physician
- Milwaukie, OR
- NPI 1962151027
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.