Individual provider Active NPI

Liza Marie Del Muro, APRN, BC

  • Adult Health Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1609832294
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4696 Issued in CA
Practice address
6659 Sycamore Canyon Blvd
Riverside, CA 92507-0733
Phone
(951) 697-3275
Fax
(951) 697-3267
NPI assigned
Apr 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4696 CA Primary

Addresses

Primary practice location

6659 Sycamore Canyon Blvd
Riverside, CA 92507-0733

Mailing address

28287 Evening Star Dr
Sun City, CA 92585-8964
Phone (951) 672-0416

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

State licenses

LicenseStateTypeSpecialty
4696CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609832294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28287 EVENING STAR DR",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925858964",
            "telephone_number": "951-672-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6659 SYCAMORE CANYON BLVD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070733",
            "telephone_number": "951-697-3275",
            "fax_number": "951-697-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL MURO",
        "first_name": "LIZA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "4696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.