Individual provider Active NPI

Maritza J Lira, AGNP-C

  • Gerontology Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1457986168
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95014079 Issued in CA
Practice address
1554 Plaza del Amo
Torrance, CA 90501-5266
Phone
(949) 735-2586
Fax
(949) 649-7043
NPI assigned
Mar 3, 2020
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 95014079 CA Primary

Addresses

Primary practice location

1554 Plaza del Amo
Torrance, CA 90501-5266

Mailing address

1554 Plaza del Amo
Torrance, CA 90501-5266
Phone (949) 735-2586

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
I20200402001546 CA Practitioner - Nurse Practitioner 9830528439

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95014079CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiarative Inc Single Specialty CurrentSince Nov 5, 2023 Accepting new patients

Locations

553 N Pacific Coast Hwy
Ste B515
Redondo Beach, CA 90277
Phone (310) 944-1842

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": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1457986168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 PLAZA DEL AMO",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905015266",
            "telephone_number": "949-735-2586",
            "fax_number": "949-649-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 PLAZA DEL AMO",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905015266",
            "telephone_number": "949-735-2586",
            "fax_number": "949-649-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIRA",
        "first_name": "MARITZA",
        "middle_name": "J",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95014079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.