Jessica Lizana, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

55326 Issued in CA

Practice address

19230 Wyandotte St Unit 6
Reseda, CA 91335-3580

Phone

(818) 620-3733

NPI assigned

Feb 6, 2007

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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1184764714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19230 WYANDOTTE ST UNIT 6",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353580",
            "telephone_number": "818-620-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19230 WYANDOTTE ST UNIT 6",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353580",
            "telephone_number": "818-620-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZANA",
        "first_name": "JESSICA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifewell Home Health
• Renato Jose Linares
• Vanessa Linares
• Kari Kristine Lindman, PH.D.
• Livia Adult Day Care (Livia Adult Day Health Care Center)
• LMS Home Health Agency, Incorporation
• Sanjay Logani, MD
• Matthew Longoria, CADC-II, CDS
• Looksbrite Optometry Center
• Los Angeles County - Reseda Mtu

• Dentist in Reseda, CA
• Providers in Reseda, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.