JENNIFER TA CPNP NPI 1790035046

NPI Information

  • NPI: 1790035046
  • Provider Name: JENNIFER TA, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 338 S DAKOTA AVE BLDG 13850
    LOMPOC, CA
    ZIP 93437
  • Phone: (805) 606-2273

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NPI Details

Jennifer Ta, CPNP is a pediatrics nurse practitioner in Lompoc, CA. Jennifer Ta, CPNP NPI is 1790035046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

338 S DAKOTA AVE BLDG 13850
LOMPOC, CA
ZIP 93437-307
Phone: (805) 606-2273

The enumeration date for this NPI number is 9/13/2012 and was last updated on 3/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary Care19921CALIFORNIANo
2363LP0200XNurse PractitionerPediatrics19921CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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