Individual provider Active NPI

Liezl Santos

  • Family Nurse Practitioner
  • Downey, CA
National Provider Identifier
1316479397
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006133 Issued in CA
Practice address
7862 Firestone Blvd
Downey, CA 90241-4221
Phone
(562) 869-7007
NPI assigned
Mar 30, 2017
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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 95006133 CA Primary

Addresses

Primary practice location

7862 Firestone Blvd
Downey, CA 90241-4221

Mailing address

1016 Oakwater St
Torrance, CA 90502-2713

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
I20190401000431 CA Practitioner - Nurse Practitioner 7315288321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Perpetual Hands a Professional Nursing CorporationGroup PAC ID 4789065475, 2 clinicians

Practice addresses (Care Compare)

8141 2ND St
Suite 206
Downey, CA 90241-3644
Phone (562) 879-3879

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95006133CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Perpetual Hands, a Professional Nursing Corporation CurrentSince Feb 1, 2022 Accepting new patients
Arp Nursing Wound Solution PC CurrentSince Oct 1, 2023 Accepting new patients
Main Medical Health Clinic Inc PastSince Oct 31, 2020 Accepting new patients

Locations

8141 2nd St
Ste 206
Downey, CA 90241
Phone (562) 622-3614

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1316479397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 OAKWATER ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7862 FIRESTONE BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414221",
            "telephone_number": "562-869-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "LIEZL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.