Liberty Jo Schuller, RN

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

571135 Issued in CA

Practice address

809 1St St
Coronado, CA 92118-1301

Phone

(619) 564-4767

NPI assigned

Sep 1, 2010

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4

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.

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280

  CA

  Medicare reassignment Care Compare group NPD
• Endoscopy Center of the South Bay LP

  • Ambulatory Surgical Clinic/Center
  • Torrance, CA
  • NPI 1053391169

  CA

  Medicare reassignment NPD
• La Jolla Endoscopy Center LP

  • Ambulatory Surgical Clinic/Center
  • La Jolla, CA
  • NPI 1407829773

  CA

  Medicare reassignment NPD
• Murrieta Anesthesia Corporation

  • Certified Registered Nurse Anesthetist
  • Murrieta, CA
  • NPI 1083847099

  CA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• United Medical Doctors

  • Gastroenterology Physician
  • Murrieta, CA
  • NPI 1770559981

  CA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Riverside, CA
  • NPI 1316979834
  Care Compare group
• Southern California Permanente Medical Group

  • Clinical Medical Laboratory
  • N Hollywood, CA
  • NPI 1891873303
  Care Compare group
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Woodland Hills, CA
  • NPI 1952333478
  Care Compare group
• Endoscopy Center of South Bay LP

  • Certified Registered Nurse Anesthetist
  • Torrance, CA
  • NPI 1275764334

  Nurse Anesthetist, Certified Registered

  NPD
• La Jolla Endoscopy Center LP

  • Anesthesiology Physician
  • La Jolla, CA
  • NPI 1376863951
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • San Diego, CA
  • NPI 1225060742
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1679880322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 1ST ST",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181301",
            "telephone_number": "619-564-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 1ST ST",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181301",
            "telephone_number": "619-564-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULLER",
        "first_name": "LIBERTY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "571135",
            "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": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sapana K Shah MD a Medical Corporation
• Adam Sayre
• Jeffry Ben Schafer, MD
• Andreas Schenk
• Mark Matthew Scheurer, M.D.
• Donesha Lequila Scott, ACSW
• Stephanie T. Scott, NP
• Scripps Clinic Medical Group
• Kofi D Sefa Boakye, MD
• Tumini Sekibo, PSYD

• All providers in Coronado, CA
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.