Individual provider Active NPI

Ana Y. Lemus, FNP

  • Nurse Practitioner
  • Ontario, CA
National Provider Identifier
1932614203
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95007661 Issued in CA
Practice address
3401 Centre Lake Dr Ste 512
Ontario, CA 91761-1201
Phone
(909) 566-0445
NPI assigned
Dec 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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 95007661 CA Primary

Addresses

Primary practice location

3401 Centre Lake Dr Ste 512
Ontario, CA 91761-1201

Mailing address

9 Skyline LN
Pomona, CA 91766-4945

Other practice location 1

4199 Flat Rock Dr Ste 200
Riverside, CA 92505-7117
Phone (323) 610-0258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250430001020 CA Order and Referring Only - Nurse Practitioner 6002155744

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: alemus@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1932614203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SKYLINE LN",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917664945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CENTRE LAKE DR STE 512",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917611201",
            "telephone_number": "909-566-0445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4199 Flat Rock Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925057117",
            "country_code": "US",
            "telephone_number": "323-610-0258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMUS",
        "first_name": "ANA",
        "middle_name": "Y.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95007661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.