Individual provider Active NPI

Dominique Lekander, FNP

  • Family Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1962264200
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95451197 Issued in CA
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

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710000760 AZ Practitioner - Nurse Practitioner 3779028162 Reassigns benefits to 1 organization

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
NA Vein Group LLCGroup PAC ID 1557775863, 7 clinicians

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

LicenseStateTypeSpecialty
TBDAZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ellison Medical Group Vein Treatment Center CurrentSince Sep 1, 2026 Accepting new patients
NA Vein Group LLC CurrentSince Jul 1, 2024 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.

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

Verify at the official NPI Registry.