Active NPI
Jennifer Gutierrez Lezak, IBCLC (NON RN)
- Lactation Consultant (Non-RN)
- Los Angeles, CA
National Provider Identifier
1912412016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-28281
- Practice address
- 2280 W 28TH St
Los Angeles, CA 90018-2532 - Phone
- (619) 733-6037
- NPI assigned
- Dec 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-28281 | CA | Primary |
Addresses
Primary practice location
2280 W 28TH St
Los Angeles, CA 90018-2532
Mailing address
2280 W 28TH St
Los Angeles, CA 90018-2532
Phone (619) 733-6037
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 |
|---|---|---|---|
| L-28281 | CA | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lactation Consultants of America | Lactation Consultant, Non-RN | Past | Accepting new patients |
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.
-
- Lactation Consultant (Non-RN)
- Big Bear City, CA
- NPI 1740929694
Lactation Consultant, Non-RN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1912412016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 W 28TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900182532",
"telephone_number": "619-733-6037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 W 28TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900182532",
"telephone_number": "619-733-6037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEZAK",
"first_name": "JENNIFER",
"middle_name": "GUTIERREZ",
"name_prefix": "Mrs.",
"credential": "IBCLC (NON RN)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-11",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "CA",
"license": "L-28281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.