Lisa Osegueda

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

40015 Sierra Hwy Ste B280
Palmdale, CA 93550-2143

Phone

(661) 810-2250

NPI assigned

Mar 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1033650155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40015 SIERRA HWY STE B2801529",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502101",
            "telephone_number": "661-583-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40015 SIERRA HWY STE B280",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502143",
            "telephone_number": "661-810-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEGUEDA",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.osegueda@thementornetwork.com",
            "affiliation": "N",
            "endpointDescription": "Work",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40015 Sierra Hwy Ste B280",
            "city": "Palmdale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935502143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kamyla Ortiz
• Tatiyana Simone Ortiz
• Zsanette Osawaru
• Osayi Residential Care LLC
• Houston Osburn, M.S. CCC-SLP
• Kent Jun Osias, PHARM.D.
• Amalia Seraspi Osma, D.M.D.
• Daniela Ester Osorio-Villatoro
• Anamaria Otero
• Vahagn Ovasapyan, PHAM D

• Community Health Worker in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.