Individual provider Active NPI

Lilith Deena Rangel

  • Specialist
  • Riverside, CA
National Provider Identifier
1083264790
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L9639 Issued in CA
Practice address
6840 Indiana Ave Ste 150
Riverside, CA 92506-4271
Phone
(951) 530-8257
NPI assigned
Sep 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L9639 CA Primary

Addresses

Primary practice location

6840 Indiana Ave Ste 150
Riverside, CA 92506-4271

Mailing address

4826 Van Buren Blvd Apt 304
Riverside, CA 92503-3259
Phone (951) 544-5339

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

LicenseStateTypeSpecialty
L9639CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Transgender Health and Wellness Center Specialist CurrentSince Oct 30, 2022 Accepting new patients

Locations

35325 Date Palm Dr
Ste 143
Cathedral City, CA 92234

6840 Indiana Ave
Ste 150
Riverside, CA 92506
Phone (951) 530-8148

Organizations & group practices 1

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": "1568419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1083264790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4826 VAN BUREN BLVD APT 304",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033259",
            "telephone_number": "951-544-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 INDIANA AVE STE 150",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064271",
            "telephone_number": "951-530-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGEL",
        "first_name": "LILITH",
        "middle_name": "DEENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-14",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "L9639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.