Individual provider Active NPI

Liza M Capiendo, M.D.

  • Colon & Rectal Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1013924943
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
A72178 Issued in CA
Practice address
9400 Brighton Way
Suite 307
Beverly Hills, CA 90210-4703
Phone
(310) 273-2310
Fax
(310) 273-0314
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X A72178 CA Primary

Addresses

Primary practice location

9400 Brighton Way
Suite 307
Beverly Hills, CA 90210-4703

Mailing address

9400 Brighton Way
Suite 307
Beverly Hills, CA 90210-4703
Phone (310) 273-2310

Other identifiers 2

IdentifierTypeStateIssuer
05D1048213OtherCACLIA
270127585OtherCAFEDERAL TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050725000789 CA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 9335176023 Practice locations: Beverly Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Loma Linda University School of Medicine, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9400 Brighton Way
Suite 307
Beverly Hills, CA 90210-4710
Phone (310) 273-2310

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A72178CAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norman N Hoffman MD Inc Colon & Rectal Surgery PastSince Dec 18, 2008 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lcapiendo102425@direct.cshs.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261612800000",
    "number": "1013924943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY",
            "address_2": "SUITE 307",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104703",
            "telephone_number": "310-273-2310",
            "fax_number": "310-273-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY",
            "address_2": "SUITE 307",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104703",
            "telephone_number": "310-273-2310",
            "fax_number": "310-273-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPIENDO",
        "first_name": "LIZA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2009-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "A72178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D1048213",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "270127585",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.