Individual provider Active NPI

Liane Zwetzich, MD

  • Internal Medicine Physician
  • Pacific Palisades, CA
National Provider Identifier
1346869955
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A191931 Issued in CA
Practice address
245 Tranquillo Rd
Pacific Palisades, CA 90272-3143
Phone
(917) 373-1338
NPI assigned
Apr 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD27047 ME
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A191931 CA Primary

Addresses

Primary practice location

245 Tranquillo Rd
Pacific Palisades, CA 90272-3143

Mailing address

950 N Kings Rd Unit 310
West Hollywood, CA 90069-4336
Phone (917) 373-1338

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105001996 CA Practitioner - Internal Medicine 6800241258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Florida International Univ, College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4560 Admiralty Way
Suite 200
Marina del Rey, CA 90292-5425
Phone (917) 373-1338

Hospital & facility affiliations

  • Healing Care Home Health, Inc Home health agency, Glendale, CA, CCN 059135
  • Spirit Home Health Care Home health agency, Los Angeles, CA, CCN 058018
  • Cedar-Sinai Marina del Rey Hospital Hospital, Marina del Rey, CA, CCN 050740
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
  • Kindred Hospital - Los Angeles Long-term care hospital, Los Angeles, CA, CCN 052032
  • Culver West Health Center Nursing home, Los Angeles, CA, CCN 055350
  • Playa del Rey Center Nursing home, Playa del Rey, CA, CCN 555004
  • Fireside Health Care Center Nursing home, Santa Monica, CA, CCN 555039
  • Westwood Post Acute Care Nursing home, Los Angeles, CA, CCN 055060
  • Marina Pointe Healthcare & Subacute Nursing home, Culver City, CA, CCN 555340

Merit-based Incentive Payment System (MIPS)

Final score
86.39 of 100Reported as group
Quality
70.14
Improvement activities
40
Cost
79.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A191931CAMDInternal Medicine Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Kansal Inc Single Specialty CurrentSince Nov 18, 2023 Accepting new patients
Liane Zwetzich MD a Professional Medical Corporation Single Specialty CurrentSince Dec 16, 2024 Accepting new patients
St. Joseph Hospital Single Specialty Past Accepting new patients

Locations

4560 Admiralty Way
Ste 356
Marina del Rey, CA 90292
Phone (310) 822-8584

4560 Admiralty Way
Ste 200
Marina del Rey, CA 90292
Phone (310) 306-7100

4560 Admiralty Way
Marina del Rey, CA 90292
Phone (310) 827-3700

1426 Montana Ave
Ste 2
Santa Monica, CA 90403
Phone (310) 388-6798

22520 Maple Ave
Torrance, CA 90505
Phone (310) 326-9131

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1346869955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N KINGS RD UNIT 310",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694336",
            "telephone_number": "917-373-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 TRANQUILLO RD",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723143",
            "telephone_number": "917-373-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWETZICH",
        "first_name": "LIANE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD27047",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A191931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Palisades, CA

Sources for this page

Verify at the official NPI Registry.