Active NPI
Vincent Lieras, PA
- Physician Assistant
- Lake Elsinore, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA54581
- Practice address
- 31581 Canyon Estates Dr
Lake Elsinore, CA 92532-0424 - Phone
- (951) 244-3500
- NPI assigned
- Jul 5, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA54581 | CA | Primary |
| Family Medicine Physician | 207Q00000X | PA54581 | CA |
Addresses
Primary practice location
31581 Canyon Estates Dr
Lake Elsinore, CA 92532-0424
Mailing address
30300 Antelope Rd Apt 1826
Menifee, CA 92584-9568
Phone (619) 203-4536
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA54581 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| Carbon Health Medical Group of California PC | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients |
Locations
1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617
6971 El Camino Real
Ste 101
Carlsbad, CA 92009
Phone (760) 258-4971
11971 Central Ave
Ste B
Chino, CA 91710
Phone (909) 310-1488
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883
Phone (951) 293-4722
2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400
14443 Culver Dr
#14443A
Irvine, CA 92604
Phone (949) 767-8173
1340 Mitchell Rd
Modesto, CA 95351
Phone (209) 581-9711
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
25115 Madison Ave
Murrieta, CA 92562
Phone (951) 600-9070
1101 S Milliken Ave
Ste C
Ontario, CA 91761
Phone (909) 390-2799
1851 Lombard St
Ste 100
Oxnard, CA 93030
Phone (805) 983-2234
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772
2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055
2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553
740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000
988 Walsh Ave
Santa Clara, CA 95050
Phone (408) 988-6868
1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360
2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990
3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500
3663 Arch Rd
Ste 400
Stockton, CA 95215
Phone (209) 943-2202
21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333
3680 Industrial Blvd
Ste 550H
West Sacramento, CA 95691
Phone (916) 373-7575
Interoperability endpoints
- vincent.lieras.p17@direct.regal.nextgenshare.com
Organizations & group practices 8
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.
-
- Clinic/Center
- Los Angeles, CA
- NPI 1750573622
-
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Specialist
- Murrieta, CA
- NPI 1407845092
-
- Urgent Care Clinic/Center
- Stockton, CA
- NPI 1669948055
-
- Urgent Care Clinic/Center
- Ontario, CA
- NPI 1811464084
-
- Urgent Care Clinic/Center
- Pasadena, CA
- NPI 1255957205
-
- Emergency Medicine Physician
- Colton, CA
- NPI 1306899166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1477074094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30300 ANTELOPE RD APT 1826",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925849568",
"telephone_number": "619-203-4536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31581 CANYON ESTATES DR",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925320424",
"telephone_number": "951-244-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIERAS",
"first_name": "VINCENT",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-05",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA54581",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "PA54581",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.