Active NPI
Jaynee Lau Pura
- Licensed Practical Nurse
- San Diego, CA
National Provider Identifier
1770753527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN 16070
- Practice address
- 11440 W Bernardo CT Ste 300
San Diego, CA 92127-1644 - Phone
- (858) 753-1735
- NPI assigned
- Mar 7, 2008
- Last updated
- Mar 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN 16070 | HI | Primary |
Addresses
Primary practice location
11440 W Bernardo CT Ste 300
San Diego, CA 92127-1644
Mailing address
234 Oneawa St
Kailua, HI 96734-2462
Phone (808) 255-3969
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN 16070 | HI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204848000000",
"number": "1770753527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 ONEAWA ST",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342462",
"telephone_number": "808-255-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11440 W BERNARDO CT STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921271644",
"telephone_number": "858-753-1735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURA",
"first_name": "JAYNEE",
"middle_name": "LAU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-07",
"last_updated": "2008-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "HI",
"license": "LPN 16070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.