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: July 19, 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
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

Other Identifiers 1

Medicaid1235368135CA

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760997902, enumerated as an "organization" on December 11, 2017.

The provider is located at 1700 S AMPHLETT BLVD, STE 250B SAN MATEO, CA 94402 and the phone number is (650) 619-9942.

Point of Service with taxonomy code 305S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.