Individual provider Active NPI

Evangeline O Luriz, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1447924733
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95017718 Issued in CA
Practice address
1025 S Anaheim Blvd
Anaheim, CA 92805-5806
Phone
(714) 865-2012
NPI assigned
Aug 2, 2021
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95017718 CA Primary

Addresses

Primary practice location

1025 S Anaheim Blvd
Anaheim, CA 92805-5806

Mailing address

PO Box 2291
Fullerton, CA 92837-0291
Phone (714) 865-2012

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211208002529 CA Practitioner - Nurse Practitioner 3870983778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thomas Health Services IncGroup PAC ID 1355748021, 32 clinicians

Practice addresses (Care Compare)

12301 Wilshire Blvd
Los Angeles, CA 90025-1000
Phone (424) 538-4494

1500 Rosecrans Ave
Suite 500
Manhattan Beach, CA 90266-3771
Phone (310) 360-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Health Services Inc CurrentSince Dec 18, 2023 Accepting new patients
Mindful Health Solutions a Professional Medical Corporation CurrentSince Aug 19, 2021 Accepting new patients
Stephens Medical Corporation PastSince Mar 19, 2023 Accepting new patients

Locations

1503 S Coast Dr
Ste 111
Costa Mesa, CA 92626
Phone (877) 788-6342

1020 Suncast Ln
Ste 108
El Dorado Hills, CA 95762
Phone (916) 932-0380

320 Pine Ave
Ste 1030
Long Beach, CA 90802
Phone (310) 360-7200

12301 Wilshire Blvd
Ste 415
Los Angeles, CA 90025

5455 Wilshire Blvd
Ste 903
Los Angeles, CA 90036
Phone (628) 244-4364

1500 Rosecrans Ave
Ste 500
Manhattan Beach, CA 90266
Phone (310) 571-5936

1590 Rosecrans Ave
Ste D617
Manhattan Beach, CA 90266
Phone (310) 360-7200

3300 Webster St
Ste 803
Oakland, CA 94609

360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 671-6819

12301 Wilshire Blvd
Ste 210
West Los Angeles, CA 90025
Phone (310) 204-1950

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, 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": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1447924733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2291",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928370291",
            "telephone_number": "714-865-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S ANAHEIM BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055806",
            "telephone_number": "714-865-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LURIZ",
        "first_name": "EVANGELINE",
        "middle_name": "O",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95017718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.