Active NPI
Lizette Cerna
- Pediatric Nurse Practitioner
- Indio, CA
National Provider Identifier
1093689119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 95037127
- Practice address
- 80495 US Highway 111
Indio, CA 92201-6534 - Phone
- (760) 347-2887
- Fax
- (760) 347-0776
- NPI assigned
- Oct 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 95037127 | CA | Primary |
Addresses
Primary practice location
80495 US Highway 111
Indio, CA 92201-6534
Mailing address
80495 US Highway 111
Indio, CA 92201-6534
Phone (760) 347-2887
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 |
|---|---|---|---|
| 95037127 | CA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1093689119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80495 US HIGHWAY 111",
"city": "INDIO",
"state": "CA",
"postal_code": "922016534",
"telephone_number": "760-347-2887",
"fax_number": "760-347-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80495 US HIGHWAY 111",
"city": "INDIO",
"state": "CA",
"postal_code": "922016534",
"telephone_number": "760-347-2887",
"fax_number": "760-347-0776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERNA",
"first_name": "LIZETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-01",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95037127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.