Active NPI
Dominique Lekander, FNP
- Family Nurse Practitioner
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95451197
- Practice address
- 1270 S Winchester Blvd Ste 102
San Jose, CA 95128-3911 - Phone
- (669) 201-0667
- Fax
- (308) 646-6140
- NPI assigned
- Jan 23, 2024
- 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 | 95451197 | CA | Primary |
Addresses
Primary practice location
1270 S Winchester Blvd Ste 102
San Jose, CA 95128-3911
Mailing address
244 Madison Ave Ste 141
New York, NY 10016-2817
Phone (669) 201-0667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1641 E Osborn Rd
Suite 4
Phoenix, AZ 85016-7146
Phone (480) 630-2886
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TBD | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellison Medical Group Vein Treatment Center | Current | Accepting new patients | |
| NA Vein Group LLC | Current | Accepting new patients |
Locations
1637 E Monument Plaza Cir
Casa Grande, AZ 85122
Phone (480) 722-0239
4111 E Valley Auto Dr
Ste 210
Mesa, AZ 85206
9200 W Union Hills Dr
Ste 103
Peoria, AZ 85382
Phone (480) 442-3990
13760 N 93rd Ave
Ste 111
Peoria, AZ 85381
Phone (602) 960-7795
1641 E Osborn Rd
Ste 4
Phoenix, AZ 85016
Phone (480) 630-2886
2248 Park Blvd
Palo Alto, CA 94306
Phone (650) 328-4411
1270 S Winchester Blvd
Ste 102
San Jose, CA 95128
Phone (408) 296-4222
244 Madison Ave
Ste 141
New York, NY 10016
Organizations & group practices 2
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.
-
- Phlebology Physician
- Phoenix, AZ
- NPI 1073138228
-
- Specialist
- San Diego, CA
- NPI 1033614706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1962264200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 MADISON AVE STE 141",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162817",
"telephone_number": "669-201-0667",
"fax_number": "818-616-6046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 S WINCHESTER BLVD STE 102",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951283911",
"telephone_number": "669-201-0667",
"fax_number": "308-646-6140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEKANDER",
"first_name": "DOMINIQUE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-23",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95451197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.