Individual provider Active NPI

Lizette Cabral

  • Family Nurse Practitioner
  • Pasadena, CA
National Provider Identifier
1467067447
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014402 Issued in CA
Practice address
1144 N Mentor Ave
Pasadena, CA 91104-3824
Phone
(626) 417-1146
NPI assigned
Sep 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95014402 CA Primary

Addresses

Primary practice location

1144 N Mentor Ave
Pasadena, CA 91104-3824

Mailing address

1144 N Mentor Ave
Pasadena, CA 91104-3824
Phone (626) 417-1146

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
I20230317002443 CA Practitioner - Nurse Practitioner 4880068600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ngo Phan MD IncGroup PAC ID 0042460065, 4 clinicians

Practice addresses (Care Compare)

2835 W Valley Blvd
Alhambra, CA 91803-1818
Phone (626) 281-3265

Merit-based Incentive Payment System (MIPS)

Final score
59.33 of 100Reported as group
Quality
0
Improvement activities
40
Cost
64.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ngo Phan MD Inc CurrentSince Feb 1, 2023 Accepting new patients

Locations

2835 W Valley Blvd
Alhambra, CA 91803
Phone (626) 281-3265

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1467067447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 N MENTOR AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911043824",
            "telephone_number": "626-417-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 N MENTOR AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911043824",
            "telephone_number": "626-417-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRAL",
        "first_name": "LIZETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.