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ELIZABETH SERVAITES NP
NPI 1053989012
Nurse Practitioner - Adult Health in San Pedro, CA

Active since June 16, 2021
1249 W 13TH ST, SAN PEDRO, CA 90731(310) 418-6010 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Servaites Np NPPES

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

ELIZABETH SERVAITES NP (NPI 1053989012) is an individual adult health provider in San Pedro, California, licensed in California (95015076) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1053989012
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameELIZABETH SERVAITESCredential: NP
Location Address1249 W 13TH STSan Pedro, CA 90731-3803
Mailing Address1249 W 13th StSan Pedro, CA 90731-3803
Phone(310) 418-6010
Sole ProprietorNo
Enumeration DateJune 16, 2021
NPPES CertifiedJune 16, 2021
✔ NPI 1053989012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 95015076
1249 W 13TH ST, San Pedro, CA 90731
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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 Elizabeth Servaites's NPI number?

The NPI number for Elizabeth Servaites is 1053989012. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Elizabeth Servaites located?

Elizabeth Servaites practices at 1249 W 13th St, San Pedro, CA 90731. The listed phone number is (310) 418-6010.

What is Elizabeth Servaites's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Elizabeth Servaites was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.