Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Sophia Marie Lugo, NURSEPRACTITIONER

Individual provider Gerontology Nurse Practitioner · NPI 1932933421

MS. Sophia Marie Lugo, NURSEPRACTITIONER is a Nurse Practitioner in Burbank, California. Graduated from University of California, Davis School of Medicine in 2024, 2 years ago. Practices with Providence Medical Institute, a 336-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

501 S Buena Vista St
Burbank, CA 91505-4809
Phone: (818) 843-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95031078 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 95031078 (CA)

Record details

NPI number1932933421
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 28, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Providence Medical Institute — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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