Individual provider Active NPI

Lilia Prado, DO

  • Family Medicine Physician
  • Harbor City, CA
National Provider Identifier
1326107954
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5538 Issued in CA
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

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1326107954MedicaidNV
DO2678OtherNVSTATE LICENSE

Other names 1

  • Lilia Prado-Gober Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lilia.prado.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081219000039 CA Practitioner - Family Practice 0547322976 Reassigns benefits to 3 organizations
I20241024002320 NV Practitioner - Family Practice 0547322976 Reassigns benefits to 2 organizations

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, IncGroup PAC ID 2961722558, shared by 2 NPIs, 57 clinicians
Intermountain Medical Holdings Nevada IncGroup PAC ID 7416054622, 311 clinicians

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 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO2678NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mona Shah Professional Corporation CurrentSince Jul 12, 2022 Accepting new patients
Centerwell Senior Primary Care (NV) PC Family Medicine CurrentSince Jan 19, 2026 Accepting new patients
Intermountain Medical Holdings Nevada Inc Family Medicine CurrentSince Dec 9, 2024 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Dec 9, 2024 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

  • Direct secure messaging: liliaprado@hcpnv.allscriptsdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.