Individual provider Active NPI

Lyzette Christine Sanchez, FNP

  • Nurse Practitioner
  • Winchester, CA
National Provider Identifier
1669193199
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95022059 Issued in CA
Practice address
31649 Leather Wood Dr
Winchester, CA 92596-9656
Phone
(909) 815-0720
NPI assigned
Sep 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95022059 CA Primary

Addresses

Primary practice location

31649 Leather Wood Dr
Winchester, CA 92596-9656

Mailing address

10327 Hole Ave
Riverside, CA 92505-1747
Phone (951) 351-1600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230424001771 CA Practitioner - Nurse Practitioner 5890150056 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Creation Health CurrentSince Oct 5, 2025 Accepting new patients
Bolivar Family Medical Clinic a Medical Corporation CurrentSince Mar 1, 2023 Accepting new patients
Bolivar Family Medical Clinic a Medical Corporation CurrentSince Mar 1, 2023 Accepting new patients

Locations

10327 Hole Ave
Riverside, CA 92505
Phone (909) 351-1600

598 N F St
Sn Bernrdno, CA 92410
Phone (909) 888-8152

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1669193199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10327 HOLE AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051747",
            "telephone_number": "951-351-1600",
            "fax_number": "951-351-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31649 LEATHER WOOD DR",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925969656",
            "telephone_number": "909-815-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "LYZETTE",
        "middle_name": "CHRISTINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95022059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, CA

Sources for this page

Verify at the official NPI Registry.