Individual provider Active NPI

Liza Alexander-Dean, D.P.M.

  • Specialist
  • Long Beach, CA
National Provider Identifier
1053428078
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E3863 Issued in CA
Practice address
1777 N Bellflower Blvd
Long Beach
Long Beach, CA 90815-4013
Phone
(562) 986-9090
Fax
(562) 986-9393
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E3863 CA Primary

Addresses

Primary practice location

1777 N Bellflower Blvd
Long Beach
Long Beach, CA 90815-4013

Mailing address

1777 N Bellflower Blvd Ste 209
Long Beach, CA 90815-4020
Phone (562) 986-9090

Other names 1

  • Dr. Liza Alexander-Dean Professional name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090616000797 CA Practitioner - Podiatry 2264582014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2700 N Bellflower Blvd
Suite 116
Long Beach, CA 90815-1100
Phone (562) 420-0032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Foot and Ankle Care Center,Inc. CurrentSince Mar 10, 2009 Accepting new patients
Stewart W Brown, M.D., Inc. Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

1777 N Bellflower Blvd
Ste 209
Long Beach, CA 90815
Phone (562) 429-8830

2700 N Bellflower Blvd
Ste 116
Long Beach, CA 90815
Phone (562) 420-0032

1777 N Bellflower Blvd
Long Beach, CA 90815
Phone (562) 298-0042

2700 N Bellflower Blvd
Ste 312
Long Beach, CA 90815
Phone (562) 429-8830

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lalexander16296@direct.memorialcare.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1053428078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 N BELLFLOWER BLVD STE 209",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154020",
            "telephone_number": "562-986-9090",
            "fax_number": "562-986-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 N BELLFLOWER BLVD",
            "address_2": "LONG BEACH",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154013",
            "telephone_number": "562-986-9090",
            "fax_number": "562-986-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER-DEAN",
        "first_name": "LIZA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "E3863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZA",
            "last_name": "ALEXANDER-DEAN",
            "prefix": "DR.",
            "credential": "D.P.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.