Active NPI
Brigette Jo Lugo
- Dental Hygienist
- Vandenberg Afb, CA
National Provider Identifier
1801634076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 22327
- Practice address
- 338 S Dakota Ave BLDG 13850
Vandenberg Afb, CA 93437-6307 - Phone
- (805) 606-1846
- NPI assigned
- Jul 19, 2024
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 22327 | CA | Primary |
Addresses
Primary practice location
338 S Dakota Ave BLDG 13850
Vandenberg Afb, CA 93437-6307
Mailing address
606 Elderberry Cir
Orcutt, CA 93455-6093
Phone (805) 750-3435
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 |
|---|---|---|---|
| 22327 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1801634076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 ELDERBERRY CIR",
"city": "ORCUTT",
"state": "CA",
"postal_code": "934556093",
"telephone_number": "805-750-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 S DAKOTA AVE BLDG 13850",
"city": "VANDENBERG AFB",
"state": "CA",
"postal_code": "934376307",
"telephone_number": "805-606-1846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO",
"first_name": "BRIGETTE",
"middle_name": "JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-19",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "22327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vandenberg Afb, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.