LIZA PAIGE POMERANTZ
NPI 1104355270
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Q: What is Liza Pomerantz's NPI number?

The NPI number for Liza Pomerantz is 1104355270. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Q: What is Liza Pomerantz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Liza Pomerantz was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 12, 2017PECOS Enrolled

160 CAPP ST, SAN FRANCISCO, CA 94110(510) 535-4450 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Jun 12, 2017 (2 updates tracked since 2017).

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About Liza Paige Pomerantz NPPES

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

LIZA PAIGE POMERANTZ (NPI 1104355270) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1104355270

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLIZA PAIGE POMERANTZ

Location Address160 CAPP STSan Francisco, CA 94110-1210

Mailing Address160 Capp StSan Francisco, CA 94110-1210

Phone(510) 535-4450

Sole ProprietorNo

Enumeration DateJune 12, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1104355270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

160 CAPP ST, San Francisco, CA 94110

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Secondary Practice Location 1

Location 1950 International Blvd Rm 208Oakland, CA 94606-3728 · Phone (510) 535-4450

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liza Paige Pomerantz 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.

Medicare Billing Reassignment

Medicare enrollment records show Liza Pomerantz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Santa Rosa Community Health Centers

47 mi

Federally Qualified Health Center (FQHC)

599 BELLEVUE AVE
Santa Rosa, CA 95407

Reassigned Medicare billing, California enrollment
215 clinicians in this Medicare group

NPI 1871651273 (707) 528-5770

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. THANG CAO NGUYEN M.D.

Family Medicine