Active NPI
Lily Tiao
- Acute Care Nurse Practitioner
- Moreno Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95002983
- Practice address
- 26520 Cactus Ave
Moreno Valley, CA 92555-3927 - Phone
- (951) 486-4397
- NPI assigned
- Sep 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95002983 | CA | Primary |
Addresses
Primary practice location
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Mailing address
211 W Rincon St Unit 208
Corona, CA 92880-2061
Phone (515) 770-6588
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151013001838 | CA | Practitioner - Nurse Practitioner | 4183933179 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riverside Faculty Medical Group Inc
Practice addresses (Care Compare)
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 656-1500
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.34 of 100
- Quality
- 84.11
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 77.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| Jerry Hsieh, M.D., Inc. | Current | Accepting new patients | |
| Riverside Faculty Medical Group Inc | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients |
Locations
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
9900 Talbert Ave
Ste 100
Fountain Vly, CA 92708
Phone (714) 698-8028
18255 Brookhurst St
Ste 100
Fountain Vly, CA 92708
Phone (714) 378-5330
24411 Health Center Dr
Ste 560
Laguna Hills, CA 92653
Phone (949) 452-0061
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
Interoperability endpoints
- ltiao101072@direct.llu.edu
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.
-
- Emergency Medicine Physician
- Moreno Valley, CA
- NPI 1235510264
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1922477306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 W RINCON ST UNIT 208",
"city": "CORONA",
"state": "CA",
"postal_code": "928802061",
"telephone_number": "515-770-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26520 CACTUS AVE",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925553927",
"telephone_number": "951-486-4397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIAO",
"first_name": "LILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-16",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95002983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.