Lisa Ozaeta, FNP-C, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

652790 Issued in CA

Practice address

701 E 28TH St Ste 200
Long Beach, CA 90806-2784

Phone

(562) 264-3116

NPI assigned

Jan 22, 2020

Last updated

Jan 22, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1699305326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062784",
            "telephone_number": "562-264-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062784",
            "telephone_number": "562-264-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZAETA",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "FNP-C, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CA",
            "license": "652790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taelumane Monica Oyewole
• Oyekunle Oyeyipo, CQT
• Zainab Oystol
• Oz Dror, M.D. Inc.
• Andrea Alejandra Ozaeta
• P & H Pharmacy Inc (Procare Pharmacy)
• Carl Paat
• Pace, a Psychology Corporation
• Amanda Pacheco
• Amparo Pacheco

• Ambulatory Care Registered Nurse in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Ambulatory Care Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.