Provider Demographics
NPI:1891986675
Name:LOMELI, CESILIA ANN (RN, FNPC)
Entity Type:Individual
Prefix:
First Name:CESILIA
Middle Name:ANN
Last Name:LOMELI
Suffix:
Gender:F
Credentials:RN, FNPC
Other - Prefix:
Other - First Name:CESILIA
Other - Middle Name:ANN
Other - Last Name:DANGARAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2050 S BLOSSER RD
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458-7310
Mailing Address - Country:US
Mailing Address - Phone:805-361-8028
Mailing Address - Fax:805-361-8097
Practice Address - Street 1:1276 TAMSEN ST
Practice Address - Street 2:
Practice Address - City:CAMBRIA
Practice Address - State:CA
Practice Address - Zip Code:93428-3325
Practice Address - Country:US
Practice Address - Phone:805-927-5292
Practice Address - Fax:805-927-0354
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4911363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFL995ZMedicare PIN