Active NPI
Lauren Lynch
- Psychiatric/Mental Health Nurse Practitioner
- El Cajon, CA
National Provider Identifier
1982590287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95037620
- Practice address
- 1240 Broadway
El Cajon, CA 92021-4994 - Phone
- (619) 841-1310
- NPI assigned
- Jun 16, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR26140300 | NJ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95037620 | CA | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 820234-01 | NY | |
| Registered Nurse | 163W00000X | L1-0073853 | DE | |
| Registered Nurse | 163W00000X | RN95333845 | CA | |
| Registered Nurse | 163W00000X | RN788149 | PA |
Addresses
Primary practice location
1240 Broadway
El Cajon, CA 92021-4994
Mailing address
1240 Broadway
El Cajon, CA 92021-4994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1240 Broadway
El Cajon, CA 92021-4994
Phone (619) 841-1310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN95333845 | CA | MD | Registered Nurse |
| L1-0073853 | DE | MD | Registered Nurse |
| 26NR26140300 | NJ | MD | Registered Nurse |
| RN788149 | PA | MD | Registered Nurse |
| 820234-01 | NY | MD | Critical Care Medicine Registered Nurse |
| 95037620 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive Pathway | Current | Accepting new patients |
Locations
1240 Broadway
El Cajon, CA 92021
Phone (619) 841-1310
6650 Gunpark Dr
Ste 100
Boulder, CO 80301
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1982590287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 BROADWAY",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920214994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 BROADWAY",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920214994",
"telephone_number": "619-841-1310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-06-16",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR26140300",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95037620",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NY",
"license": "820234-01",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0073853",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN95333845",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN788149",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.