Individual provider Active NPI

Elizabeth Carandang Laqui, MD

  • Pediatrics Physician
  • Perris, CA
National Provider Identifier
1437121415
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A39839 Issued in CA
Practice address
498 W 4TH St
Perris, CA 92570-2070
Phone
(951) 943-8899
Fax
(951) 943-4598
NPI assigned
Feb 3, 2006
Last updated
Mar 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A39839 CA Primary

Addresses

Primary practice location

498 W 4TH St
Perris, CA 92570-2070

Mailing address

498 W 4TH St
Perris, CA 92570-2070
Phone (951) 943-8899

Other names 1

  • Dr. Elizabeth Carandang Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A39839CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mommy and Me Medical Group, Inc. Pediatrics PastSince Aug 7, 2017 Accepting new patients
Reuben C Castillo, Professional Corporation Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: elizabeth.laqui.p2@direct.mpmccorp.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1437121415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 W 4TH ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702070",
            "telephone_number": "951-943-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 W 4TH ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702070",
            "telephone_number": "951-943-8899",
            "fax_number": "951-943-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAQUI",
        "first_name": "ELIZABETH",
        "middle_name": "CARANDANG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A39839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CARANDANG",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.