Individual provider Active NPI

Lilia De Guzman Nicolas, NP-C

  • Family Nurse Practitioner
  • Panorama City, CA
National Provider Identifier
1164804167
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95002323 Issued in CA
Practice address
8781 Van Nuys Blvd
Panorama City, CA 91402-2401
Phone
(818) 920-0808
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95002323 CA Primary

Addresses

Primary practice location

8781 Van Nuys Blvd
Panorama City, CA 91402-2401

Mailing address

8781 Van Nuys Blvd
Panorama City, CA 91402-2401
Phone (818) 920-0808

Other names 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170110001076 CA Practitioner - Nurse Practitioner 5395026132 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95002323CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Proyecto del Barrio, Inc. CurrentSince Dec 4, 2016 Accepting new patients
Northeast Valley Health Corporation CurrentSince Aug 26, 2017 Accepting new patients
Northeast Valley Health Corporation Current Accepting new patients
El Proyecto del Barrio, Inc. CurrentSince Dec 4, 2016 Accepting new patients
Northeast Valley Health Corporation CurrentSince Aug 26, 2017 Accepting new patients
El Proyecto del Barrio, Inc. Current Accepting new patients

Locations

8902 Woodman Ave
Arleta, CA 91331
Phone (818) 830-7033

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086

1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388

23763 Valencia Blvd
Valencia, CA 91355
Phone (661) 287-1551

20800 Sherman Way
Winnetka, CA 91306
Phone (818) 883-2273

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lilia.nicolas.p1@direct.nevhc.nextgenshare.com

Organizations & group practices 6

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1164804167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8781 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022401",
            "telephone_number": "818-920-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8781 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022401",
            "telephone_number": "818-920-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAS",
        "first_name": "LILIA",
        "middle_name": "DE GUZMAN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95002323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIA",
            "last_name": "LIMA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.