Active NPI
Christina Ann Lagazo, NP
- Nurse Practitioner
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95009779
- Practice address
- 1115 S Sunset Ave
West Covina, CA 91790-3940 - Phone
- (626) 814-2534
- NPI assigned
- Sep 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | NP95009779 | CA | |
| Nurse Practitioner | 363L00000X | 95009779 | CA | Primary |
Addresses
Primary practice location
1115 S Sunset Ave
West Covina, CA 91790-3940
Mailing address
17049 E Francisquito Ave
West Covina, CA 91791-3828
Phone (808) 268-9054
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Valley Community Health Center, Inc.
Practice addresses (Care Compare)
1555 S Garey Ave
Pomona, CA 91766-5222
Phone (626) 919-4333
420 S Glendora Ave
West Covina, CA 91790-3001
Phone 6269194333259
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95009779 | CA | MD | Emergency Medical Services (Emergency Medicine) Physician |
| 95009779 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| May Medical Management Corporation | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Afshin Saadat MD Inc | Current | Accepting new patients | |
| California Mobile Doctors Group Inc | Current | Accepting new patients |
Locations
751 Medical Center Ct
#1182
Chula Vista, CA 91911
1234 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-4879
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
8619 Reseda Blvd
Ste 201
Northridge, CA 91324
Phone (747) 217-8863
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
1317 W West Covina Pkwy
Ste B
West Covina, CA 91790
Phone (310) 733-8706
1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- christina.lagazo.p1@direct.evchc.nextgenshare.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- West Covina, CA
- NPI 1427672385
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Urgent Care Clinic/Center
- La Verne, CA
- NPI 1073058103
-
- Internal Medicine Physician
- San Dimas, CA
- NPI 1225333065
-
- Emergency Medicine Physician
- West Covina, CA
- NPI 1346614054
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1679056451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17049 E FRANCISQUITO AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917913828",
"telephone_number": "808-268-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 S SUNSET AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903940",
"telephone_number": "626-814-2534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGAZO",
"first_name": "CHRISTINA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-08",
"last_updated": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "CA",
"license": "NP95009779",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95009779",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1011 Baldwin Park Blvd",
"city": "Baldwin Park",
"state": "CA",
"country_code": "US",
"postal_code": "917065806",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.