Princess Eliz Segala Atienza, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-314464 Issued in CA

Practice address

14688 Via Fiesta
Unit 2
San Diego, CA 92127-3879

Phone

(619) 952-0335

NPI assigned

Dec 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Princess Eliz Segala Cervantes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lactation Consultants of America

  • Lactation Consultant (Non-RN)
  • Big Bear City, CA
  • NPI 1740929694

  Lactation Consultant, Non-RN

  NPD (past)

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1164290201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14688 VIA FIESTA",
            "address_2": "UNIT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273879",
            "telephone_number": "619-952-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14688 VIA FIESTA",
            "address_2": "UNIT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273879",
            "telephone_number": "619-952-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATIENZA",
        "first_name": "PRINCESS ELIZ",
        "middle_name": "SEGALA",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-314464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRINCESS ELIZ",
            "last_name": "CERVANTES",
            "middle_name": "SEGALA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Neha Athavale
• Atherton Sorrenti DC
• Charles A Athill, M.D.
• Rylee Athwani, AMFT
• Kathleen-Ann Laxamana Atienza, LMFT
• Sharon Atienza, NP
• Nisa S. Atigapramoj, M.D.
• Ronald Mar Tenorio Atillo, AG-ACNP-BC
• Fadi Atiya
• Sawsan Ismail Atiya, PHARM-D

• All providers in San Diego, CA
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.