Desouza Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DESOUZA MEDICAL GROUP INC

Practice address

26321 Santiago Canyon Road
Corona, CA 92883

Phone

(562) 842-4390

Fax

(951) 977-8846

NPI assigned

Feb 15, 2024

Organization subpart

No

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

Authorized official

Name

Lienio De Souza, NPNPI 1467989269

Title

Owner Provider

Phone

(562) 842-4390

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lienio Ferreira De Souza, NP-C

  • Primary Care Nurse Practitioner
  • Corona, CA
  • NPI 1467989269

  CA, Primary Care

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1386409704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26321 SANTIAGO CANYON RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928835229",
            "telephone_number": "562-842-4390",
            "fax_number": "951-977-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26321 SANTIAGO CANYON ROAD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92883",
            "telephone_number": "562-842-4390",
            "fax_number": "951-977-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOUZA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "DE SOUZA",
        "authorized_official_first_name": "LIENIO",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "562-842-4390",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hikshu H Desai, DDS
• Subhash B Deshmukh, MD
• Suhasini Deshmukh, MD
• Falaya Desilva
• Mahesh Suranjan Desilva, M.D.
• Steven Michael Deterville, MD
• Krista Dewindt
• Sheenum Dhiman
• Umadevi Dhulia
• Diana C Andrew

• All providers in Corona, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.