MR. CHARLES DELEON LUMBOY NP NPI 1801284096

NPI Information

NPI: 1801284096
Provider Name: MR. CHARLES DELEON LUMBOY, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: SUTTER BAY MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
701 E EL CAMINO REAL
VASCULAR CENTER, 3RD FLOOR
MOUNTAIN VIEW, CA
ZIP 94040
Phone: (650) 404-8333
Get Directions

MR. Charles Deleon Lumboy, NP is a family nurse practitioner in Mountain View, CA with 10 years of experience. MR. Charles Deleon Lumboy, NP NPI is 1801284096. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

701 E EL CAMINO REAL
VASCULAR CENTER, 3RD FLOOR
MOUNTAIN VIEW, CA
ZIP 94040
Phone: (650) 404-8333
Fax: (650) 404-8340

The NPI 1801284096 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/23/2014 and was last updated on 10/3/2019.

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
1	163W00000X	Registered Nurse		733932	CALIFORNIA	No
2	163W00000X	Registered Nurse		RN733932	CALIFORNIA	No
3	363LF0000X	Nurse Practitioner	Family	95001958	CALIFORNIA	No
4	363LF0000X	Nurse Practitioner	Family	NP95001958	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	733932	OTHER	CALIFORNIA	CALIFORNIA RN LICENSE
2	95001958	OTHER	CALIFORNIA	CA BRN FAMILY NURSE PRACTITIONER

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: 11/14/2023

NPI Synchronization or Removal

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