Individual provider Active NPI

Liza Victoria Seno Escobedo, M.D.

  • Emergency Medicine Physician
  • Bronx, NY
National Provider Identifier
1861783789
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2751031 Issued in NY
Practice address
1650 Grand Concourse
Bronx, NY 10457-7606
Phone
(718) 960-2051
NPI assigned
Apr 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2751031 NY Primary

Addresses

Primary practice location

1650 Grand Concourse
Bronx, NY 10457-7606

Mailing address

212 E 47TH St Apt 6F
New York, NY 10017-2122

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180207002881 CA Practitioner - Emergency Medicine 2163649740 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Northeastern Ohio University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gem Medical Group CorporationGroup PAC ID 3072984400, 54 clinicians

Practice addresses (Care Compare)

525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone (626) 573-2222

Hospital & facility affiliations

  • Garfield Medical Center Hospital, Monterey Park, CA, CCN 050737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2751031NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Emergency Medical Associates, Inc Emergency Medicine CurrentSince Oct 1, 2020 Accepting new patients
Sherman Oaks Emergency Medical Associates Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Spectrum Emergency Physicians Group Inc. Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Alegent Creighton Clinic Past Accepting new patients

Locations

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

Dept LA 25308
Pasadena, CA 91185

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

4929 Van Nuys Blvd
Van Nuys, CA 91403
Phone (818) 907-4561

Interoperability endpoints

  • Direct secure messaging: liza.escobedo.1@25843.direct.athenahealth.com

Organizations & group practices 6

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.

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": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1861783789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E 47TH ST APT 6F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577606",
            "telephone_number": "718-960-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBEDO",
        "first_name": "LIZA VICTORIA",
        "middle_name": "SENO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "2751031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.