Blue Lotus Connection
Blue Lotus Connection is a healthcare organization registered as Point of Service in San Mateo, CA, holding Type 2 (organization) NPI 1760997902 since 2017. The authorized official on file is Patrice Fortune, Founder/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1760997902 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Blue Lotus Connection |
| Practice address | 1700 S AMPHLETT BLVD, STE 250B, San Mateo, CA, 94402 |
| Phone | 6506199942 |
| Enumeration date | 2017-12-11 |
| Last updated in NPPES | 2017-12-11 |
Authorized official
| Name | Patrice Fortune |
|---|---|
| Title | Founder/Owner |
| Phone | 6506199942 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 305S00000X | Point of Service | Primary | — | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235368135 | Medicaid | CA | — |
Copy-ready billing details
Provider: Blue Lotus Connection NPI: 1760997902 Taxonomy: 305S00000X (Point of Service) Address: 1700 S AMPHLETT BLVD, STE 250B, San Mateo, CA, 94402
Verify this record
Cross-check NPI 1760997902 against the authoritative CMS record: view Blue Lotus Connection on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Blue Lotus Connection located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-12-11.