Active NPI
Liliana Chanocua
- Case Manager/Care Coordinator
- Lynwood, CA
National Provider Identifier
1013397314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2640 Industry Way Ste 200
Lynwood, CA 90262-4284 - Phone
- (310) 627-4525
- NPI assigned
- Jun 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Counselor | 101Y00000X |
Addresses
Primary practice location
2640 Industry Way Ste 200
Lynwood, CA 90262-4284
Mailing address
2640 Industry Way Ste 200
Lynwood, CA 90262-4284
Phone (310) 627-4525
Other practice location 1
3611 S Harbor Blvd Ste 100
Santa Ana, CA 92704-7915
Phone (714) 474-1359
Other practice location 2
1661 n raymond ave ste 200
Anaheim, CA 92801
Phone (714) 966-8650
Other practice location 3
2640 Industry Way
Lynwood, CA 90262-4284
Phone (310) 627-4525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Coast Children'S Society, Inc. | Past | Accepting new patients | |
| South Coast Children'S Society, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Illness Community Based Residential Treatment Facility
- Mission Viejo, CA
- NPI 1215017603
-
- Community/Behavioral Health Agency
- Placentia, CA
- NPI 1497882161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1013397314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 INDUSTRY WAY STE 200",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902624284",
"telephone_number": "310-627-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 INDUSTRY WAY STE 200",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902624284",
"telephone_number": "310-627-4525"
}
],
"practiceLocations": [
{
"address_1": "3611 S Harbor Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927047915",
"country_code": "US",
"telephone_number": "714-474-1359",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1661 n raymond ave ste 200",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "92801",
"country_code": "US",
"telephone_number": "714-966-8650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2640 Industry Way",
"address_purpose": "LOCATION",
"city": "Lynwood",
"state": "CA",
"postal_code": "902624284",
"country_code": "US",
"telephone_number": "310-627-4525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANOCUA",
"first_name": "LILIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-02",
"last_updated": "2021-03-24",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.