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MR. ANTHONY DELOVINO LISTA APRN-CNP, FNP-BC
NPI 1003413055
Nurse Practitioner - Family in South Gate, CA

Active since October 02, 2020PECOS Enrolled
8627 ATLANTIC AVE, SOUTH GATE, CA 90280(888) 499-9303 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2024, Feb 22, 2022, Mar 11, 2021 and 1 more (4 updates tracked since 2020).

About Mr. Anthony Delovino Lista Aprn-cnp, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANTHONY DELOVINO LISTA APRN-CNP, FNP-BC (NPI 1003413055) is an individual family provider in South Gate, California, licensed in California (95019937) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Anaheim.

NPPES Registry Identity

NPI1003413055
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. ANTHONY DELOVINO LISTACredential: APRN-CNP, FNP-BC
Location Address8627 ATLANTIC AVESouth Gate, CA 90280-3501
Mailing Address1325 N Anaheim BlvdAnaheim, CA 92801-1202 · (888) 499-9303
Phone(888) 499-9303
Sole ProprietorYes
Enumeration DateOctober 2, 2020
Last NPPES UpdateApril 10, 20244 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1003413055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 95019937✔ Licensed in TX · 1015265
8627 ATLANTIC AVE, South Gate, CA 90280
Open in Google Maps ↗

Secondary Practice Location 1

Location 11325 N Anaheim BlvdAnaheim, CA 92801-1202 · Phone (888) 499-9303

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Anthony Delovino Lista Aprn-cnp, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90280 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGHNA M DARA
Dentist (General Practice)
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (888) 499-9303
DR. NICHOLAS PATRICK BLASINGAME DPM
Podiatrist (Foot & Ankle Surgery)
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (877) 462-2582
DR. NATHAN JOSEPH BAUTISTA DO
Student in an Organized Health Care Education/Training Program
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (323) 312-2605
DR. JOSHUA SOLER MD
Student in an Organized Health Care Education/Training Program
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (323) 312-2605
STEPHANIE GALILEA BANUELOS CHAVEZ DDS
Dentist
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (888) 499-9303
MRS. MADOKA ARAI BARRIENTOS N.P.
Nurse Practitioner (Family)
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (888) 499-9303
LILIANA FLORES
Case Manager/Care Coordinator
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (323) 312-2640
DR. NAYANA BHASKAR MD
Student in an Organized Health Care Education/Training Program
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (323) 312-2605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Lista's NPI number?

The NPI number for Anthony Lista is 1003413055. It was assigned to this individual provider in the NPPES registry on October 2, 2020.

Where is Anthony Lista located?

Anthony Lista practices at 8627 Atlantic Ave, South Gate, CA 90280. The listed phone number is (888) 499-9303.

What is Anthony Lista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Anthony Lista enrolled in Medicare?

Yes. Anthony Lista is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anthony Lista was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.