Active NPI
Liz Yang Lee, LVN
- Licensed Vocational Nurse
- Merced, CA
National Provider Identifier
1043716442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 683614
- Practice address
- 301 E 13TH St
Merced, CA 95341 - Phone
- (209) 381-6800
- Fax
- (209) 725-3883
- NPI assigned
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 683614 | CA | Primary |
Addresses
Primary practice location
301 E 13TH St
Merced, CA 95341
Mailing address
P.O Box 2098
Merced, CA 95344
Phone (209) 381-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013030808 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 683614 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1043716442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O BOX 2098",
"city": "MERCED",
"state": "CA",
"postal_code": "95344",
"telephone_number": "209-381-6800",
"fax_number": "209-725-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E 13TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "95341",
"telephone_number": "209-381-6800",
"fax_number": "209-725-3883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LIZ",
"middle_name": "YANG",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "683614",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013030808",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.