LISETTE MACIAS NP NPI 1245568724

NPI Information

NPI: 1245568724
Provider Name: LISETTE MACIAS, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1 HOPE DR
TUSTIN, CA
ZIP 92782
Phone: (714) 247-0300
Get Directions

Lisette Macias, NP is a pediatrics nurse practitioner in Tustin, CA. Lisette Macias, NP NPI is 1245568724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 HOPE DR
TUSTIN, CA
ZIP 92782-221
Phone: (714) 247-0300

The NPI 1245568724 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 11/23/2009 and was last updated on 9/17/2016.

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
1	163W00000X	Registered Nurse		748044	CALIFORNIA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	95004862	CALIFORNIA	Yes

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: 4/28/2024

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