Individual provider Active NPI

Jayna Lorae Liford, AGNP-C

  • Primary Care Nurse Practitioner
  • Santa Maria, CA
National Provider Identifier
1760370811
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95035930 Issued in CA
Practice address
2151 S College Dr Ste 203
Santa Maria, CA 93455-1305
Phone
(805) 623-5010
Fax
(805) 623-8365
NPI assigned
Jun 26, 2025
Last updated
Jul 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95035930 CA Primary

Addresses

Primary practice location

2151 S College Dr Ste 203
Santa Maria, CA 93455-1305

Mailing address

2151 S College Dr Ste 203
Santa Maria, CA 93455-1305
Phone (805) 623-5010

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807002693 CA Practitioner - Nurse Practitioner 2365940582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peter Alan Krause Medical CorporationGroup PAC ID 4688892698, 2 clinicians

Practice addresses (Care Compare)

2151 S College Dr
Suite 203
Santa Maria, CA 93455-1305
Phone (414) 510-7294

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95035930CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Alan Krause Medical Corporation CurrentSince Jul 8, 2025 Accepting new patients

Locations

2151 S College Dr
Ste 203
Santa Maria, CA 93455
Phone (805) 623-5010

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9491/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jayna.liford.1@9491.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1760370811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 S COLLEGE DR STE 203",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551305",
            "telephone_number": "805-623-5010",
            "fax_number": "805-623-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 S COLLEGE DR STE 203",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551305",
            "telephone_number": "805-623-5010",
            "fax_number": "805-623-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIFORD",
        "first_name": "JAYNA",
        "middle_name": "LORAE",
        "name_prefix": "Ms.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95035930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.