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BLUE LOTUS CONNECTION
NPI 1760997902
Point of Service in San Mateo, CA

Active since December 11, 2017
1700 S AMPHLETT BLVD, STE 250B, SAN MATEO, CA 94402(650) 619-9942 Get Directions Write a Review

NPPES record last updated: December 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Lotus Connection NPPES

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

BLUE LOTUS CONNECTION (NPI 1760997902) is a healthcare organization registered as a point of service in San Mateo, California and active in the NPI registry since December 2017. The organization lists Patrice Fortune, Founder/owner, as its authorized official.

NPPES Registry Identity

NPI1760997902
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameBLUE LOTUS CONNECTION
Location Address1700 S AMPHLETT BLVD, STE 250BSan Mateo, CA 94402
Mailing Address63 Bovet Road #221San Mateo, CA 94402 · (650) 619-9942
Phone(650) 619-9942
Organization SubpartNo
Authorized OfficialPatrice FortuneFounder/owner · (650) 619-9942
Enumeration DateDecember 11, 2017
✔ NPI 1760997902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
1700 S AMPHLETT BLVD, STE 250B, San Mateo, CA 94402
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Other Identifiers 1

Medicaid1235368135CA

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 Blue Lotus Connection's NPI number?

The NPI number for Blue Lotus Connection is 1760997902. It was assigned to this organization in the NPPES registry on December 11, 2017.

Where is Blue Lotus Connection located?

Blue Lotus Connection is located at 1700 S Amphlett Blvd, Ste 250B, San Mateo, CA 94402. The listed phone number is (650) 619-9942.

What is Blue Lotus Connection's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Blue Lotus Connection was last updated on December 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.