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LUCIA FAJARDO NURSE PRACTITIONER
NPI 1255864849
Nurse Practitioner - Family in Santee, CA

Active since April 10, 2017PECOS Enrolled
7908 RANCHO FANITA DR SPC 20, SANTEE, CA 92071(619) 900-5365 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lucia Fajardo Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCIA FAJARDO NURSE PRACTITIONER (NPI 1255864849) is an individual family provider in Santee, California, licensed in California (806303) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255864849
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLUCIA FAJARDOCredential: NURSE PRACTITIONER
Location Address7908 RANCHO FANITA DR SPC 20Santee, CA 92071-3421
Mailing Address7908 Rancho Fanita Dr Spc 20Santee, CA 92071-3421 · (619) 900-5365
Phone(619) 900-5365
Sole ProprietorNo
Enumeration DateApril 10, 2017
✔ NPI 1255864849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 806303
7908 RANCHO FANITA DR SPC 20, Santee, CA 92071
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lucia Fajardo Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lucia Fajardo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Bay Geriatric And Internal Medicine Inc
14 mi
Legal Medicine
340 4TH AVE, #9
Chula Vista, CA 91910
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1801192497 (619) 426-9731

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92071 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lucia Fajardo's NPI number?

The NPI number for Lucia Fajardo is 1255864849. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Lucia Fajardo located?

Lucia Fajardo practices at 7908 Rancho Fanita Dr Spc 20, Santee, CA 92071. The listed phone number is (619) 900-5365.

What is Lucia Fajardo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lucia Fajardo enrolled in Medicare?

Yes. Lucia Fajardo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lucia Fajardo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucia Fajardo reassigns Medicare benefits to South Bay Geriatric And Internal Medicine Inc (Chula Vista, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lucia Fajardo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lucia Fajardo was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.