Individual provider Active NPI

Odessa Barayuga Luna, RN

  • School Registered Nurse
  • Fresno, CA
National Provider Identifier
1891517983
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
95044512 Issued in CA
Practice address
1301 M St
Fresno, CA 93721-1807
Phone
(559) 457-3301
NPI assigned
Oct 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 95044512 CA Primary

Addresses

Primary practice location

1301 M St
Fresno, CA 93721-1807

Mailing address

2416 E Saint Andrew Dr
Fresno, CA 93730-4761

Other names 1

  • Odessa Barayuga Gorospe Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95044512CAMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Unified School District Dept. of Health Services CurrentSince Aug 17, 2025 Accepting new patients

Locations

1301 M St
Fresno, CA 93721
Phone (559) 457-3220

Organizations & group practices 1

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": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1891517983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 E SAINT ANDREW DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937304761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 M ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211807",
            "telephone_number": "559-457-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "ODESSA",
        "middle_name": "BARAYUGA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "95044512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ODESSA",
            "last_name": "GOROSPE",
            "middle_name": "BARAYUGA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.