Individual provider Active NPI

Ellen Frances Liguori, NP-C

  • Nurse Practitioner
  • Yucca Valley, CA
National Provider Identifier
1821451964
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95003945 Issued in CA
Practice address
58471 29 Palms Hwy
Suite 201
Yucca Valley, CA 92284
Phone
(760) 228-1114
Fax
(760) 228-2066
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 95003945 CA
Gerontology Nurse Practitioner 363LG0600X 95003945 CA
Nurse Practitioner 363L00000X 95003945 CA Primary

Addresses

Primary practice location

58471 29 Palms Hwy
Suite 201
Yucca Valley, CA 92284

Mailing address

58471 29 Palms Hwy
Suite 201
Yucca Valley, CA 92284
Phone (760) 228-1114

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
I20170503002142 CA Practitioner - Nurse Practitioner 4789961558 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95003945CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Urgent Care, Inc CurrentSince Jan 1, 2023 Accepting new patients
Apple Urgent Care, Inc CurrentSince Jan 1, 2023 Accepting new patients
Hi -Desert Memorial Health Care District CurrentSince Jun 17, 2024 Accepting new patients

Locations

49305 Grapefruit Blvd
Ste 1
Coachella, CA 92236
Phone (760) 391-9062

1207 E Florida Ave
Hemet, CA 92543
Phone (951) 925-2523

58383 29 Palms Hwy
Ste 101
Yucca Valley, CA 92284
Phone (760) 820-9229

6530 La Contenta Rd
Ste 100
Yucca Valley, CA 92284
Phone (760) 820-9229

58375 29 Palms Hwy
Yucca Valley, CA 92284
Phone 76036593051604

Organizations & group practices 3

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1821451964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58471 29 PALMS HWY",
            "address_2": "SUITE 201",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "92284",
            "telephone_number": "760-228-1114",
            "fax_number": "760-228-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58471 29 PALMS HWY",
            "address_2": "SUITE 201",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "92284",
            "telephone_number": "760-228-1114",
            "fax_number": "760-228-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGUORI",
        "first_name": "ELLEN",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95003945",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95003945",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95003945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

Verify at the official NPI Registry.