Lizette Lynn Mationg, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

591509 Issued in CA

Practice address

63 Firwood
Irvine, CA 92604-4635

Phone

(714) 357-9020

Fax

(949) 214-3284

NPI assigned

Sep 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629596838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 FIRWOOD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044635",
            "telephone_number": "714-357-9020",
            "fax_number": "949-214-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 FIRWOOD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044635",
            "telephone_number": "714-357-9020",
            "fax_number": "949-214-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIONG",
        "first_name": "LIZETTE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "591509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAIN STREET SPECIALTY SURGERY CENTER",
            "identifier": "1225275688",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSSSC",
            "identifier": "1225275688",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Mateo
• Jessica Marie Baniqued Mateo, OTD, OTR/L
• Ashley Philip Mathew
• Juliana Mathewson, M.D.
• Matin Chiropractic Group, Inc.
• Aly Matlock
• Matrix Rehabilitation, Inc.
• Erin Ayano Matsubara
• Katherine Lin Matsumoto, FNP-BC
• Matthew C Tsai DDS Inc

• Registered Nurse First Assistant in Irvine, CA
• Providers in Irvine, CA by specialty
• Registered Nurse First Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.