Individual provider Active NPI

Carmen Arlene Lizarraga

  • Licensed Vocational Nurse
  • Pasadena, CA
National Provider Identifier
1215329347
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN271581 Issued in CA
Practice address
36 S Kinneloa Ave Ste 200
Pasadena, CA 91107-3853
Phone
(626) 844-3033
NPI assigned
Feb 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN271581 CA Primary

Addresses

Primary practice location

36 S Kinneloa Ave Ste 200
Pasadena, CA 91107-3853

Mailing address

36 S Kinneloa Ave Ste 200
Pasadena, CA 91107-3853
Phone (626) 844-3033

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

LicenseStateTypeSpecialty
VN271581CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rosemary Children'S Services Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1215329347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 S KINNELOA AVE STE 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073853",
            "telephone_number": "626-844-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 S KINNELOA AVE STE 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073853",
            "telephone_number": "626-844-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZARRAGA",
        "first_name": "CARMEN",
        "middle_name": "ARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN271581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.