Individual provider Active NPI

Lisa Beth Lombardi, FNP, RN, BSN, BA, LE

  • Nurse Practitioner
  • San Clemente, CA
National Provider Identifier
1902685282
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95027263 Issued in CA
Practice address
58 Via Cartama
San Clemente, CA 92673-6998
Phone
(562) 506-6060
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95027263 CA Primary

Addresses

Primary practice location

58 Via Cartama
San Clemente, CA 92673-6998

Mailing address

58 Via Cartama
San Clemente, CA 92673-6998
Phone (562) 506-6060

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
Bachelor of Arts, Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95027263CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1902685282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 VIA CARTAMA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736998",
            "telephone_number": "562-506-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 VIA CARTAMA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736998",
            "telephone_number": "562-506-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDI",
        "first_name": "LISA",
        "middle_name": "BETH",
        "credential": "FNP, RN, BSN, BA, LE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95027263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.