Individual provider Active NPI

Liza Gonzales Carreiro, RN, RN-BC

  • Medical-Surgical Registered Nurse
  • Fresno, CA
National Provider Identifier
1518292473
Registry record updated Oct 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
567226 Issued in CA
Practice address
3658 N Burgan Ave
Fresno, CA 93727-7976
Phone
(559) 292-7009
NPI assigned
Oct 12, 2009
Last updated
Oct 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 567226 CA Primary
Oncology Registered Nurse 163WX0200X 567226 CA

Addresses

Primary practice location

3658 N Burgan Ave
Fresno, CA 93727-7976

Mailing address

3658 N Burgan Ave
Fresno, CA 93727-7976
Phone (559) 292-7009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
567226CAMDOncology Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255305600000",
    "number": "1518292473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3658 N BURGAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937277976",
            "telephone_number": "559-292-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3658 N BURGAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937277976",
            "telephone_number": "559-292-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARREIRO",
        "first_name": "LIZA",
        "middle_name": "GONZALES",
        "credential": "RN, RN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2009-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "567226",
            "primary": true
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "CA",
            "license": "567226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.