Individual provider Active NPI

Lizeth Cuevas Soto

  • Family Medicine Physician
  • Yuma, AZ
National Provider Identifier
1922866680
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
305257 Issued in AZ
Practice address
2775 S 8TH Ave
Yuma, AZ 85364-7110
Phone
(928) 341-0700
NPI assigned
Mar 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN213673 AZ
Family Medicine Physician 207Q00000X 305257 AZ Primary

Addresses

Primary practice location

2775 S 8TH Ave
Yuma, AZ 85364-7110

Mailing address

6491 Cleo St
San Diego, CA 92115-1524
Phone (619) 761-9449

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
I20240716001691 AZ Practitioner - Nurse Practitioner 6608311592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Up2Par PLLCGroup PAC ID 7416955745, 14 clinicians

Practice addresses (Care Compare)

2775 S 8TH Ave
Yuma, AZ 85364-7110
Phone (928) 341-0700

Hospital & facility affiliations

  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN213673AZMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Up2Par PLLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

11463 S Foothills Blvd
Yuma, AZ 85367
Phone (928) 955-0189

1025 W 24th St
Ste 18
Yuma, AZ 85364
Phone (928) 341-0700

2775 S 8th Ave
Yuma, AZ 85364
Phone (928) 341-0700

Organizations & group practices 1

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": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1922866680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6491 CLEO ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151524",
            "telephone_number": "619-761-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 S 8TH AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647110",
            "telephone_number": "928-341-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVAS SOTO",
        "first_name": "LIZETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "RN213673",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "305257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.