Active NPI
Lizbeth Pineda
- Rehabilitation Practitioner
- Los Angeles, CA
National Provider Identifier
1093464299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 4401 Crenshaw Blvd
Los Angeles, CA 90043-1227 - Phone
- (323) 290-8360
- NPI assigned
- Mar 23, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | F4672555 | CA | |
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
4401 Crenshaw Blvd
Los Angeles, CA 90043-1227
Mailing address
3031 S Vermont Ave
Los Angeles, CA 90007-3033
Phone (323) 373-2400
Other practice location 1
5120 W Goldleaf Cir
Los Angeles, CA 90056-1292
Phone (323) 793-4414
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 |
|---|---|---|---|
| F4672555 | CA | MD | Rehabilitation Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellnest Emotional Health & Wellness | Current | Accepting new patients |
Locations
4401 Crenshaw Blvd
Los Angeles, CA 90043
Phone (323) 290-8360
3031 S Vermont Ave
Los Angeles, CA 90007
Phone (323) 766-2345
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.
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1639293574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1093464299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900073033",
"telephone_number": "323-373-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900431227",
"telephone_number": "323-290-8360"
}
],
"practiceLocations": [
{
"address_1": "5120 W Goldleaf Cir",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900561292",
"country_code": "US",
"telephone_number": "323-793-4414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PINEDA",
"first_name": "LIZBETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-23",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": "F4672555",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.