Individual provider Active NPI

Lance Espiritu, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • La Puente, CA
National Provider Identifier
1831966746
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95027065 Issued in CA
Practice address
13723 Don Julian Rd
La Puente, CA 91746-2715
Phone
(626) 320-3257
NPI assigned
Dec 11, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95027065 CA Primary

Addresses

Primary practice location

13723 Don Julian Rd
La Puente, CA 91746-2715

Mailing address

13723 Don Julian Rd
La Puente, CA 91746-2715
Phone (626) 320-3257

Other practice location 1

250 N First St Unit 432
Burbank, CA 91502-1874
Phone (626) 320-3257

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240424004116 CA Practitioner - Nurse Practitioner 1557701513 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18425 Burbank Blvd
Suite 609
Tarzana, CA 91356-2806
Phone (818) 600-8640

898 N Fair Oaks Ave
Suite G
Pasadena, CA 91103-3068
Phone (310) 201-0757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mission City Community Network, Inc. CurrentSince Mar 24, 2024 Accepting new patients
Foothills Psychological Services, Inc. CurrentSince Mar 2, 2024 Accepting new patients
Newcare Medical Group - a Professional Corporation CurrentSince Jul 15, 2024 Accepting new patients
Mission City Community Network, Inc. Current Accepting new patients
Mission City Community Network, Inc. CurrentSince Mar 24, 2024 Accepting new patients

Locations

466 Foothill Blvd
#391
La Canada Flintridge, CA 91011
Phone (310) 201-0757

8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone 8188953100602

898 N Fair Oaks Ave
Ste G
Pasadena, CA 91103
Phone (310) 201-0757

1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791

15206 Parthenia St
Sepulveda, CA 91343

4164 N 4th Ave
Sn Bernrdno, CA 92407
Phone (909) 886-6786

954 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (909) 946-4222

15201 Eleventh St
Ste 300
Victorville, CA 92395
Phone (760) 245-1640

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1831966746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13723 DON JULIAN RD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917462715",
            "telephone_number": "626-320-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13723 DON JULIAN RD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917462715",
            "telephone_number": "626-320-3257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 N First St Unit 432",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915021874",
            "country_code": "US",
            "telephone_number": "626-320-3257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPIRITU",
        "first_name": "LANCE",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95027065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

Verify at the official NPI Registry.