Jhoed Bustamante Lacson

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Practice address

655 Park Center Dr
Santee, CA 92071-6957

Phone

(619) 596-5500

Fax

(691) 596-5501

NPI assigned

Jul 1, 2021

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1831769868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 PARK CENTER DR",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920716957",
            "telephone_number": "619-596-5500",
            "fax_number": "691-596-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 PARK CENTER DR",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920716957",
            "telephone_number": "619-596-5500",
            "fax_number": "691-596-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACSON",
        "first_name": "JHOED",
        "middle_name": "BUSTAMANTE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Krage, PA
• Laura Lynn Krance, DO
• Kathryn Denine Krug, LMFT
• Sabit Kenyi Kubari, REGISTERED NURSE
• Tenny Kussat, RD
• James Louis Gregory Lakin
• Julie B Lalor, PH.D.
• Kimberly Lam, PHARM.D.
• Jennifer Landini, ATC, PT, DPT
• Erica Landymore, LMFT, NCC

• Skilled Nursing Facility in Santee, CA
• Providers in Santee, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.