MANUEL JOSE LIZARRAGA (NPI# 1346738911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346738911 |
| Entity Type | Individual |
| Full Name | MANUEL JOSE LIZARRAGA |
| Credential | SA-C |
| Practice Address |
1274 N Crescent Heights Blvd Apt 226 West Hollywood CA 90046-5061 |
| Practice Telephone | 7865088559 |
| Mailing Telephone | 7865088559 |
| Enumeration Date | 2018-04-28 |
| Last Update Date | 2018-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
14-132 | CA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1274 N CRESCENT HEIGHTS BLVD APT 226 |
| City | WEST HOLLYWOOD |
| State | CA |
| Zip Code | 90046-5061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325084 | Rimma R Golub | Nurse Practitioner | 948 N. Fairfax Ave, Suite 201, West Hollywood, CA 90046 | 2020-10-29 |
| 1053923607 | Jm Medical Solutions, LLC | Point of Service | 7741 Hollywood Blvd, Los Angeles, CA 90046 | 2020-08-17 |
| 1720592744 | Brian A Torres | Marriage & Family Therapist | 805 North Alta Vista Blvd, Unit 6, Los Angeles, CA 90046 | 2017-11-29 |
| 1770008005 | James N. Orr | Acupuncturist | 1351 N. Crescent Heights Blvd., Suite 116, West Hollywood, CA 90046 | 2017-08-08 |
| 1255701975 | Cameron Lee | Counselor | 8345 Ridpath Drive, Los Angeles, CA 90046 | 2015-10-07 |
| 1720465420 | The Doctor | Internal Medicine | 7531 Santa Monica Blvd Suite 101, West Hollywood, CA 90046 | 2015-05-01 |
| 1497152995 | Lisa Maznio | Counselor | 1400 N Martel Ave Apt 202, Los Angeles, CA 90046 | 2014-11-26 |
| 1013356690 | Pamela Rose Scott | Acupuncturist | 1321 N. Fairfax Ave., #3, West Hollywood, CA 90046 | 2013-06-18 |
| 1720360050 | Paul S. Raine | Marriage & Family Therapist | 8235 Santa Monica Blvd., Suite 400, West Hollywood, CA 90046 | 2011-09-13 |
| 1780995233 | Anna Samsanovich | Registered Nurse | 1701 Camino Palmero, Los Angeles, CA 90046 | 2010-06-30 |
| Find all providers in zip 90046 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720303860 | Charles Kreuser | Specialist/Technologist, Other | 1245 N Laurel Ave, #3, West Hollywood, CA 90046-5144 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128312 | Josue Alejandro Villa Ruiz | Specialist/Technologist, Other | 2600 Skyline Dr, Signal Hill, CA 90755-3823 | 2020-06-11 |
| 1407416142 | Leonardo Luis Ruiz Medina | Specialist/Technologist, Other | 1219 24th St, San Diego, CA 92102-2011 | 2019-06-14 |
| 1952868549 | Erick Alfredo Nunez | Specialist/Technologist, Other | 1831 Canal St, San Diego, CA 92154-1160 | 2019-03-01 |
| 1730645425 | Betzabe Sonaly Wintermute | Specialist/Technologist, Other | 29019 Shadow Valley Ln, Santa Clarita, CA 91390-1290 | 2019-02-18 |
| 1518423755 | Luis Alberto Chaviedo | Specialist/Technologist, Other | 2255 Orange St Apt 10, Highland, CA 92346-1868 | 2019-02-12 |
| 1730667486 | Iris Yamileth Ramos Pineda | Specialist/Technologist, Other | 2177 Stocker St, Pomona, CA 91767-2428 | 2018-08-03 |
| 1649768235 | Lizbeth Villegas | Specialist/Technologist, Other | 2401 Virginia Ave Apt 111, Santa Monica, CA 90404-5187 | 2018-04-29 |
| 1609389469 | Jose Jesus Zamudio Escamilla | Specialist/Technologist, Other | 9280 Big Ridge Rd, Riverside, CA 92509-4969 | 2017-11-14 |
| 1225549439 | Mayra Shirley Ponce Rodriguez | Specialist/Technologist, Other | 11261 Ratliffe St, Norwalk, CA 90650-2779 | 2017-10-14 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| Find all providers with the same taxonomy | ||||
| City | WEST HOLLYWOOD |
| Zip Code | 90046 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.