Active NPI
Elyse Ann Lujan
- Family Nurse Practitioner
- Huntington Beach, CA
National Provider Identifier
1902529696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NPF95022236
- Practice address
- 5355 Warner Avenue
Ste 102
Huntington Beach, CA 92649-6030 - Phone
- (714) 793-9260
- Fax
- (714) 793-9263
- NPI assigned
- Sep 19, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NPF95022236 | CA | Primary |
Addresses
Primary practice location
5355 Warner Avenue
Ste 102
Huntington Beach, CA 92649-6030
Mailing address
5355 Warner Avenue
Ste 102
Huntington Beach, CA 92649-6030
Phone (714) 793-9260
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 |
|---|---|---|---|
| NPF95022236 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1902529696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5355 WARNER AVENUE",
"address_2": "STE 102",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926496030",
"telephone_number": "714-793-9260",
"fax_number": "714-793-9263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5355 WARNER AVENUE",
"address_2": "STE 102",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926496030",
"telephone_number": "714-793-9260",
"fax_number": "714-793-9263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUJAN",
"first_name": "ELYSE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NPF95022236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.