MR. ANTHONY DELOVINO LISTA APRN-CNP FNP-BC NPI 1003413055

NPI Information

  • NPI: 1003413055
  • Provider Name: MR. ANTHONY DELOVINO LISTA, APRN-CNP, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8627 ATLANTIC AVE
    SOUTH GATE, CA
    ZIP 90280
  • Phone: (888) 499-9303

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NPI Details

MR. Anthony Delovino Lista, APRN-CNP, FNP-BC is a family nurse practitioner in South Gate, CA. MR. Anthony Delovino Lista, APRN-CNP, FNP-BC NPI is 1003413055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8627 ATLANTIC AVE
SOUTH GATE, CA
ZIP 90280-501
Phone: (888) 499-9303

The NPI 1003413055 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2020 and was last updated on 4/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily1015265TEXASNo
2363LF0000XNurse PractitionerFamily95019937CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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