Individual provider Active NPI

Lilia Santamaria-Cano, FNP-C

  • Family Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1841670528
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7862 Issued in AZ
Practice address
13555 W McDowell Rd Ste 103
Goodyear, AZ 85395-2625
Phone
(623) 932-1157
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP7862 AZ Primary

Addresses

Primary practice location

13555 W McDowell Rd Ste 103
Goodyear, AZ 85395-2625

Mailing address

3815 E Bell Rd Ste 4500
Phoenix, AZ 85032-2171
Phone (602) 633-3848

Other names 1

  • Lilia Santamaria-Cano Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150730010521 AZ Practitioner - Nurse Practitioner 2163736505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group Arizona, LLCGroup PAC ID 1052328408, 94 clinicians

Practice addresses (Care Compare)

13555 W McDowell Rd
Goodyear, AZ 85395-2625
Phone (623) 512-4390

14415 W McDowell Rd
Suite D102
Goodyear, AZ 85395-2521
Phone (623) 512-4190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP7862AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Arizona, LLC CurrentSince Jul 1, 2015 Accepting new patients
Privia Medical Group Arizona, LLC CurrentSince Jul 1, 2015 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

10815 W McDowell Rd
Ste 304
Avondale, AZ 85392
Phone (623) 433-0155

13555 W McDowell Rd
Ste 103
Goodyear, AZ 85395
Phone (623) 433-0155

13555 W McDowell Rd
Ste 1
Goodyear, AZ 85395

14415 W McDowell Rd
Ste D102
Goodyear, AZ 85395
Phone (623) 512-4190

111 W Cedar Ln
Ste A
Payson, AZ 85541
Phone (928) 472-4675

3815 E Bell Rd
Ste 3200
Phoenix, AZ 85032
Phone (480) 840-1754

3815 E Bell Rd
Ste 2300
Phoenix, AZ 85032
Phone (602) 942-3750

3815 E Bell Rd
Ste 2200
Phoenix, AZ 85032
Phone (602) 931-4689

1301 S 7th Ave
Ste 400
Phoenix, AZ 85007
Phone (602) 824-3358

3815 E Bell Rd
Ste 4500
Phoenix, AZ 85032
Phone (602) 633-3838

Interoperability endpoints

  • Direct secure messaging: lilia.santamariacano.2@33227.direct.athenahealth.com

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1841670528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 4500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322171",
            "telephone_number": "602-633-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 103",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952625",
            "telephone_number": "623-932-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTAMARIA-CANO",
        "first_name": "LILIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIA",
            "last_name": "SANTAMARIA-CANO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.