JACQUELINE SANTOS LUMALU CRNA, MSN ACNP-BC
NPI 1275997066
Nurse Anesthetist, Certified Registered in Los Angeles, CA
About Jacqueline Santos Lumalu Crna, Msn Acnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE SANTOS LUMALU CRNA, MSN ACNP-BC (NPI 1275997066) is an individual nurse anesthetist, certified registered in Los Angeles, California, licensed in California (NA95001428) and active in the NPI registry since April 2016. She is a graduate of University Of Southern California Keck School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacqueline Santos Lumalu Crna, Msn Acnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Jacqueline Lumalu reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 2,445 clinicians in this Medicare group
Beverly Hills, CA 90211
- Reassigned Medicare billing, California enrollment
- 22 clinicians in this Medicare group
Beverly Hills, CA 90210
- Reassigned Medicare billing, California enrollment
- 57 clinicians in this Medicare group
Duarte, CA 91010
- Reassigned Medicare billing, California enrollment
- 1,335 clinicians in this Medicare group
Tarzana, CA 91356
- Reassigned Medicare billing, California enrollment
- 44 clinicians in this Medicare group
Camarillo, CA 93012
- Reassigned Medicare billing, California enrollment
- 112 clinicians in this Medicare group
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 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
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 Jacqueline Lumalu's NPI number?
The NPI number for Jacqueline Lumalu is 1275997066. It was assigned to this individual provider in the NPPES registry on April 8, 2016.
Where is Jacqueline Lumalu located?
Jacqueline Lumalu practices at 1500 San Pablo St, Los Angeles, CA 90033. The listed phone number is (323) 442-7400.
What is Jacqueline Lumalu's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jacqueline Lumalu enrolled in Medicare?
Yes. Jacqueline Lumalu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacqueline Lumalu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Lumalu reassigns Medicare benefits to 6 organizations: Usc Care Medical Group, Inc (Los Angeles, CA), Tower Anesthesia Associates Inc (Beverly Hills, CA), Precision Anesthesia Group Inc (Beverly Hills, CA), City Of Hope Medical Foundation (Duarte, CA), Scq Anesthesia A Professional Nursing Corporation (Tarzana, CA) and 1 more organization, listed in the Medicare section above. Each 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 Jacqueline Lumalu'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 Jacqueline Lumalu was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Jacqueline Santos Lumalu, CRNA, MSN ACNP-BC · NPI 1275997066
Nurse Anesthetist, Certified Registered physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 8, 2016.
## Identity
- **NPI:** 1275997066 (Entity type: Individual)
- **Enumerated:** April 8, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** NA95001428 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 SAN PABLO ST, Los Angeles, CA 90033-5313
- **Phone:** (323) 442-7400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Usc Care Medical Group, Inc (NPI 1902846306, Los Angeles, CA); Tower Anesthesia Associates Inc (NPI 1407370901, Beverly Hills, CA); Precision Anesthesia Group Inc (NPI 1205253929, Beverly Hills, CA); City Of Hope Medical Foundation (NPI 1871886366, Duarte, CA); Scq Anesthesia A Professional Nursing Corporation (NPI 1689381105, Tarzana, CA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** May 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1275997066) · Data from the CMS NPPES public registry.