Genova Isamar Hernandez Lizardo

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

24028 Lake Dr.
Crestline, CA 92325

Phone

(909) 338-3222

NPI assigned

Jul 2, 2025

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hearts & Lives

  • Community/Behavioral Health Agency
  • Crestline, CA
  • NPI 1952749525
  NPD
• Hearts & Lives

  • Community/Behavioral Health Agency
  • Blue Jay, CA
  • NPI 1801312905
  NPD (past)

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1629967732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4644",
            "city": "BLUE JAY",
            "state": "CA",
            "postal_code": "923174644",
            "telephone_number": "909-338-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24028 LAKE DR.",
            "city": "CRESTLINE",
            "state": "CA",
            "postal_code": "92325",
            "telephone_number": "909-338-3222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27307 CA St Hwy 189, Suite 205",
            "address_purpose": "LOCATION",
            "city": "Blue Jay",
            "state": "CA",
            "postal_code": "92317",
            "country_code": "US",
            "telephone_number": "909-338-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ LIZARDO",
        "first_name": "GENOVA",
        "middle_name": "ISAMAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Griego
• Chelsea L Guest, DMD
• Angela Marguerite Harrington
• Monica Harrison
• Hearts & Lives
• Rudy John Hernandez Jr.
• Olga Lucia Holguin
• Nanette A Howard
• Nicole Huffman
• Gwenda Ann Humpherys, OTR/L

• Marriage & Family Therapist in Crestline, CA
• Providers in Crestline, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.