Individual provider Active NPI

Lilibeth Guzman Romero

  • Home Health Agency
  • Fontana, CA
National Provider Identifier
1740992742
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
066007 Issued in CA
Practice address
9161 Sierra Ave Ste 203C
Fontana, CA 92335-4773
Phone
(909) 291-5205
NPI assigned
Dec 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 066007 CA Primary

Addresses

Primary practice location

9161 Sierra Ave Ste 203C
Fontana, CA 92335-4773

Mailing address

9161 Sierra Ave Ste 203C
Fontana, CA 92335-4773
Phone (909) 291-5205

Other practice location 1

9161 Locust Ave
Fontana, CA 92335-6074
Phone (909) 291-5205

Other names 1

  • Lilibeth Guzman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
066007CAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Lijale Home Health LLC Home Health CurrentSince Dec 1, 2022 Accepting new patients

Locations

9161 Sierra Ave
Ste 203C
Fontana, CA 92335
Phone (909) 291-5205

Organizations & group practices 1

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": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1740992742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9161 SIERRA AVE STE 203C",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354773",
            "telephone_number": "909-291-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9161 SIERRA AVE STE 203C",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354773",
            "telephone_number": "909-291-5205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9161 Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923356074",
            "country_code": "US",
            "telephone_number": "909-291-5205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN ROMERO",
        "first_name": "LILIBETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "066007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIBETH",
            "last_name": "GUZMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.