Individual provider Active NPI

Lisette Campos Cuevas, FNP, CNM

  • Midwife
  • Calexico, CA
National Provider Identifier
1871244798
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
236671 Issued in CA
Practice address
450 E Birch St
Calexico, CA 92231-2375
Phone
(760) 351-3296
NPI assigned
Jan 12, 2022
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95019275 CA
Midwife 176B00000X 236671 CA Primary

Addresses

Primary practice location

450 E Birch St
Calexico, CA 92231-2375

Mailing address

450 E Birch St
Calexico, CA 92231-2334
Phone (760) 925-7174

Other practice location 1

751 W Legion Rd Ste 204
Brawley, CA 92227-7755
Phone (769) 351-2627

Other identifiers 1

IdentifierTypeStateIssuer
1871244798MedicaidCA

Other names 1

  • Lisette Cruz Gonzalez Oseguera Former name

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
I20220727001120 CA Practitioner - Nurse Practitioner 1052793825 Reassigns benefits to 2 organizations
Practice locations: Brawley, CA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kestutis V. Kuraitis, M.D., PH.D., Inc. CurrentSince Oct 12, 2022 Accepting new patients

Locations

751 W Legion Rd
Ste 204
Brawley, CA 92227
Phone (760) 351-2626

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1871244798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E BIRCH ST",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312334",
            "telephone_number": "760-925-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E BIRCH ST",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312375",
            "telephone_number": "760-351-3296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 W Legion Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Brawley",
            "state": "CA",
            "postal_code": "922277755",
            "country_code": "US",
            "telephone_number": "769-351-2627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPOS CUEVAS",
        "first_name": "LISETTE",
        "credential": "FNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019275",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "236671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871244798",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISETTE",
            "last_name": "CRUZ GONZALEZ OSEGUERA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Calexico, CA

Sources for this page

Verify at the official NPI Registry.