Omar Lizarraga

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1450 N Lake Ave FL 2
Pasadena, CA 91104-2301

Phone

(626) 564-4240

Fax

(626) 577-4250

NPI assigned

May 8, 2015

Last updated

May 8, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Principles Inc (Dba) Impact Drug & Alcohol Treatment Center

  dba Impact Outpatient

  • Substance Abuse Rehabilitation Facility
  • Pasadena, CA
  • NPI 1497196075
  NPD (past)

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1316325459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 SAN MIGUEL AVE APT A",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902804824",
            "telephone_number": "323-867-0809",
            "fax_number": "626-577-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 N LAKE AVE FL 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042301",
            "telephone_number": "626-564-4240",
            "fax_number": "626-577-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZARRAGA",
        "first_name": "OMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Hailey Livingston
• Liviu Chindris MD, Inc.
• Liway Professional Corporation (Liway Acupuncture)
• Carmen Arlene Lizarraga
• Jennifer Lynn Lizarraga, M.A.
• Rosa Maria Lizarraga, BA, MS, PPS, CWA
• Debora Teles Lizek
• Monique Lizzette
• LL and HH Home Health Care Inc.
• Marie Felyn Esperanzate Llacuna, RN

• Addiction (Substance Use Disorder) Counselor in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.