Llpmg Colton

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LLPMG COLTON

Practice address

1007 E Cooley Dr Ste 109
Colton, CA 92324-3901

Phone

(909) 370-4700

Fax

(888) 505-0620

NPI assigned

Jul 31, 2026

Organization subpart

No

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

Authorized official

Name

Liberty Olive Macias, NP

Title

Ceo

Phone

(909) 900-6465

Specialties & licenses 6

Addresses

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1043133747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 E COOLEY DR STE 109",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243901",
            "telephone_number": "909-370-4700",
            "fax_number": "888-505-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 E COOLEY DR STE 109",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243901",
            "telephone_number": "909-370-4700",
            "fax_number": "888-505-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLPMG COLTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "MACIAS",
        "authorized_official_first_name": "LIBERTY",
        "authorized_official_middle_name": "OLIVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-900-6465",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara A Littlejohn
• Kathryn Jane Liverman
• Lizarraga Medical Center Inc
• Lizarraga Medical Clinic Inc.
• Juan Fernando Lizarraga, M.D.
• Colin Lo, DO
• Esther Y Lo, N.P.
• Kuang-Chih Lo, D.O.
• Shannon M Lockard
• Tiawny Lockett

• Psychiatric/Mental Health Nurse Practitioner in Colton, CA
• Providers in Colton, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.