Individual provider Active NPI

Tricia Aliazis, NP

  • Family Nurse Practitioner
  • Lynwood, CA
National Provider Identifier
1225670557
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012990 Issued in CA
Practice address
3621 Martin Luther King Jr Blvd Ste 6
Lynwood, CA 90262-3512
Phone
(310) 537-1503
Fax
(310) 537-0538
NPI assigned
Oct 8, 2019
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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 95012990 CA Primary

Addresses

Primary practice location

3621 Martin Luther King Jr Blvd Ste 6
Lynwood, CA 90262-3512

Mailing address

3621 Martin Luther King Jr Blvd Ste 6
Lynwood, CA 90262-3512
Phone (310) 537-1503

Other practice location 1

3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (310) 722-1108

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
I20200715003608 CA Practitioner - Nurse Practitioner 2466876008 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meher F Tabatabai M D IncGroup PAC ID 3173695111, 8 clinicians

Practice addresses (Care Compare)

3621 Martin Luther King Jr Blvd
Suite 6
Lynwood, CA 90262-3512
Phone (310) 537-1503

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meher F Tabatabai MD Inc CurrentSince Apr 14, 2020 Accepting new patients
One Health Medical Group Inc CurrentSince Sep 1, 2025 Accepting new patients
Sehgal Medical Corporation CurrentSince Mar 1, 2020 Accepting new patients
Ashok K Raheja M.D. PastSince Mar 1, 2020 Accepting new patients

Locations

3605 Long Beach Blvd
Ste 405
Long Beach, CA 90807
Phone (562) 424-8000

3621 Martin Luther King Jr Blvd
Lynwood, CA 90262
Phone (310) 631-2627

3621 Martin Luther King Jr Blvd
Ste 10
Lynwood, CA 90262
Phone (310) 638-9977

3621 Martin Luther King Jr Blvd
Ste 6
Lynwood, CA 90262
Phone (310) 537-1503

3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1225670557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 MARTIN LUTHER KING JR BLVD STE 6",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623512",
            "telephone_number": "310-537-1503",
            "fax_number": "310-537-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 MARTIN LUTHER KING JR BLVD STE 6",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623512",
            "telephone_number": "310-537-1503",
            "fax_number": "310-537-0538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3630 E Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902622609",
            "country_code": "US",
            "telephone_number": "310-722-1108",
            "fax_number": "310-362-8957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALIAZIS",
        "first_name": "TRICIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.