Luis Isaac Venegas

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95032172 Issued in CA

Practice address

207 W Legion Rd
Brawley, CA 92227-7780

Phone

(760) 351-4400

NPI assigned

Oct 29, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tyson Medical IncGroup PAC ID 3072870112, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Assisting Hands Health Care Home health agency, Glendale, CA, CCN 559460
• Accentcare Home Health of California Inc Home health agency, El Centro, CA, CCN 557425
• El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045
• Pioneers Memorial Healthcare District Hospital, Brawley, CA, CCN 050342

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tyson Medical Inc

  • Family Medicine Physician
  • Calexico, CA
  • NPI 1467241570
  Medicare reassignment Care Compare group NPD
• Tyson Medical Inc

  dba All Valley Urgent Care

  • Urgent Care Clinic/Center
  • El Centro, CA
  • NPI 1376053843
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Accentcare Home Health of California, Inc

  • Home Health Agency
  • El Centro, CA
  • NPI 1740242718
  Care Compare affiliation
• Assisting Hands Health Care

  • Home Health Agency
  • El Centro, CA
  • NPI 1275156481
  Care Compare affiliation
• El Centro Regional Medical Center

  • General Acute Care Hospital
  • El Centro, CA
  • NPI 1861409823
  Care Compare affiliation
• Imperial Valley Healthcare District

  dba Pioneers Memorial Hospital

  • General Acute Care Hospital
  • Brawley, CA
  • NPI 1184429185
  Care Compare affiliation

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1609698711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W LEGION RD",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277780",
            "telephone_number": "760-351-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W LEGION RD",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277780",
            "telephone_number": "760-351-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEGAS",
        "first_name": "LUIS",
        "middle_name": "ISAAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Psychological Center
• Valley Sunshine Medical Associates Inc
• Varsity Team, Incorporated
• Elvia Mireya Vazquez, MSN, FNP-C
• Juan C Velazquez, MD
• Prasanna Venkataraman
• Luis Enrique Verduzco
• Maria G Villalobos
• Vincent Chiu MD Inc
• Virgilio C. Almaden, M.D. , a.M.C. (Virgilio Almaden, MD, A Medical Corporation)

• Family Nurse Practitioner in Brawley, CA
• Providers in Brawley, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.
• 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.