Active NPI
Liza Macrohon-Cross, PA-C
- Physician Assistant
- South Gate, CA
National Provider Identifier
1568675254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 13082
- Practice address
- 8426 California Ave
South Gate, CA 90280-2414 - Phone
- (323) 249-1100
- Fax
- (323) 249-1103
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 13082 | CA | Primary |
Addresses
Primary practice location
8426 California Ave
South Gate, CA 90280-2414
Mailing address
8426 California Ave
South Gate, CA 90280-2414
Phone (323) 249-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA 13082 | Other | CA | PHYSICIAN ASSISTANT |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 13082 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381449600000",
"number": "1568675254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8426 CALIFORNIA AVE",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902802414",
"telephone_number": "323-249-1100",
"fax_number": "323-249-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8426 CALIFORNIA AVE",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902802414",
"telephone_number": "323-249-1100",
"fax_number": "323-249-1103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACROHON-CROSS",
"first_name": "LIZA",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2013-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA 13082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT",
"identifier": "PA 13082",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.