Lienio Ferreira De Souza, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95006696 Issued in CA

Practice address

26321 Santiago Canyon Rd
Corona, CA 92883-5229

Phone

(562) 842-4390

NPI assigned

May 11, 2017

Last updated

Apr 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ldesouza269721@direct.llu.edu

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.

• Desouza Medical Group Inc

  • Family Medicine Physician
  • Corona, CA
  • NPI 1386409704

  Primary Care

  Medicare reassignment NPD Authorized official
• Souza Medical Group Inc

  • Nurse Practitioner
  • Corona, CA
  • NPI 1316891252
  Medicare reassignment NPD Authorized official
• St. Joseph Healthcare Agency, Inc.

  dba St. Joseph Hospice & Palliative Care

  • Community Based Hospice Care Agency
  • Riverside, CA
  • NPI 1801399399
  NPD Authorized official
• San Gabriel Hospice & Palliative Care Inc

  • Community Based Hospice Care Agency
  • Glendale, CA
  • NPI 1821436874
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1467989269",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26321 SANTIAGO CANYON RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928835229",
            "telephone_number": "562-842-4390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1306 W Santa Ana Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927033707",
            "country_code": "US",
            "telephone_number": "714-972-4995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1417 W Kenneth Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912011487",
            "country_code": "US",
            "telephone_number": "818-532-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE SOUZA",
        "first_name": "LIENIO",
        "middle_name": "FERREIRA",
        "name_prefix": "Dr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95006696",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95006696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan De la Rosa
• Krista Leanne De la Rosa
• Rocio Adriana De Lira Castellanos
• Johanna De Ramos
• Kimberly De Santiago
• Dean-Bateman Medical Group
• Carmella Dean
• Ralph D Dean, M.D.
• Aaron Deatherage
• Sara Deering, PH.D.

• Primary Care Nurse Practitioner in Corona, CA
• Providers in Corona, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.