Liana Lourdes Marino, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A67841 Issued in CA

Practice address

6780 Indiana Ave. #110
Riverside, CA 92506

Phone

(951) 682-1622

Fax

(951) 682-5902

NPI assigned

Mar 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Liana Lourdes Pena Other name

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

Specialty

Physician Assistant

Education

Loma Linda University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orangecrest Medical Group, Inc.Group PAC ID 1456747369, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Orangecrest Medical Group, Inc.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1033676317
  Medicare reassignment Care Compare group
• Elias F. Sanchez, M.D.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1508886672
  Medicare reassignment
• Lumina Family Care, Inc.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1700309689
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1710948450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6780 INDIANA AVE. #110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92506",
            "telephone_number": "909-796-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 INDIANA AVE. #110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92506",
            "telephone_number": "951-682-1622",
            "fax_number": "951-682-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "LIANA",
        "middle_name": "LOURDES",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA18166",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A67841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIANA",
            "last_name": "PENA",
            "middle_name": "LOURDES",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anais Marin
• Ester Marina Marin, MSW
• Rubiana Monique Marin
• Irene Marinas-Oliver, RD
• Regina Roxanne Marinello, LMFT
• Mario Carcamo MD Inc
• Amanda Mariona
• Camila Aurelia Mariscal
• Magdakarina Mariscal
• Mayra Mariscal

• Family Medicine Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.

Verify at the official NPI Registry.