Active NPI
Lilia Prado, DO
- Family Medicine Physician
- Harbor City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A5538
- Practice address
- 1403 Lomita Blvd Ste 101
Harbor City, CA 90710-2084 - Phone
- (310) 784-5800
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO2678 | NV | |
| Family Medicine Physician | 207Q00000X | 20A5538 | CA | Primary |
Addresses
Primary practice location
1403 Lomita Blvd Ste 101
Harbor City, CA 90710-2084
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326107954 | Medicaid | NV | |
| DO2678 | Other | NV | STATE LICENSE |
Other names 1
- Lilia Prado-Gober
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lilia.prado.1@29601.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Texas HSC, College of Osteopathic Med, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Roads Foundation, Inc
Practice addresses (Care Compare)
121 S Long Beach Blvd
Compton, CA 90221-3423
Phone (310) 627-5850
321 N Nellis Blvd
Suite 110
Las Vegas, NV 89110-5416
Phone (702) 438-4003
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO2678 | NV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Mona Shah Professional Corporation | Current | Accepting new patients | |
| Centerwell Senior Primary Care (NV) PC | Family Medicine | Current | Accepting new patients |
| Intermountain Medical Holdings Nevada Inc | Family Medicine | Current | Accepting new patients |
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients |
Locations
1600 S Gaffey St
San Pedro, CA 90731
Phone (310) 548-0201
1366 W 7th St
San Pedro, CA 90732
Phone (310) 548-0478
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
4001 S Decatur Blvd
Ste 25
Las Vegas, NV 89103
Phone (725) 224-6967
321 N Nellis Blvd
Ste 110
Las Vegas, NV 89110
Phone (702) 438-4003
1766 E Charleston Blvd
Las Vegas, NV 89104
Phone (702) 843-2440
3129 N Rainbow Blvd
Las Vegas, NV 89108
Phone (725) 220-8457
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
Interoperability endpoints
- liliaprado@hcpnv.allscriptsdirect.net
- lilia.prado.1@29601.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
Family Medicine
-
- Internal Medicine Physician
- San Pedro, CA
- NPI 1053643171
-
- Federally Qualified Health Center (FQHC)
- Wilmington, CA
- NPI 1700097540
-
- Clinic/Center
- Long Beach, CA
- NPI 1669812392
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1285257667
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1053029488
Family Medicine
-
- Home Health Agency
- Las Vegas, NV
- NPI 1689882557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1326107954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 LOMITA BLVD STE 101",
"city": "HARBOR CITY",
"state": "CA",
"postal_code": "907102084",
"telephone_number": "310-784-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADO",
"first_name": "LILIA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "DO2678",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A5538",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326107954",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "DO2678",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lilia.prado.1@29601.direct.athenahealth.com",
"affiliation": "N",
"address_1": "1766 E Charleston Blvd",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891041945",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LILIA",
"last_name": "PRADO-GOBER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Harbor City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.