Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicolette Lujan

Individual provider Physician Assistant · NPI 1124616271

Nicolette Lujan is a Physician Assistant in Rancho Mirage, California. Qualified in 2021, 5 years ago. Practices with Rodolfo R. Batarse, MD, Medical Corporation, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

71511 Highway 111 Ste H
Rancho Mirage, CA 92270-4465
Phone: (760) 773-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 59404 (CA)

Record details

NPI number1124616271
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 5, 2021
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address71511 Highway 111 Ste H, Rancho Mirage, CA 92270-4465

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Rodolfo R. Batarse, Md, Medical Corporation — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Rancho Mirage