Lesa Taylor, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NPF5023013 Issued in CA

Practice address

665 Camino de Los Mares Ste 203a
San Clemente, CA 92673-2836

Phone

(949) 493-9344

NPI assigned

Nov 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Health and Wellness Center, Inc.

  • Family Medicine Physician
  • Lake Forest, CA
  • NPI 1386802940
  Medicare reassignment NPD

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1730896333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES STE 203A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732836",
            "telephone_number": "949-493-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES STE 203A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732836",
            "telephone_number": "949-493-9344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23672 Birtcher Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "CA",
            "postal_code": "926301711",
            "country_code": "US",
            "telephone_number": "949-770-7301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LESA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF5023013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanoko Taniguchi Tanaka, NMD
• Jay Gerard Tassin, M.D.
• Eveette Michelle Tavakkoly, RDH
• Ramin Tayani, M.D.
• Taylor Health Services Inc
• Natalie Taylor
• Katherine A Teeple, A84177
• Allen Thaler
• The Breath Wellness Foundation
• The Chaabel Group, LLC

• Family Nurse Practitioner in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.