1. Home
  2. Directory
  3. California
  4. Eastvale
  5. Nurse Practitioner
  6. NPI Profile

MR. JAY SANTILLANA LARDIZABAL MSN, APRN, FNP-C
NPI 1124763164
Nurse Practitioner - Family in Eastvale, CA

Active since May 04, 2022PECOS Enrolled
6595 CANTATA DR, EASTVALE, CA 92880(951) 987-1133 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jay Santillana Lardizabal Msn, Aprn, Fnp-c NPPES

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

MR. JAY SANTILLANA LARDIZABAL MSN, APRN, FNP-C (NPI 1124763164) is an individual family provider in Eastvale, California, licensed in California (F04220387) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124763164
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JAY SANTILLANA LARDIZABALCredential: MSN, APRN, FNP-C
Location Address6595 CANTATA DREastvale, CA 92880-4534
Mailing Address6595 Cantata DrEastvale, CA 92880-4534 · (951) 987-1133
Phone(951) 987-1133
Sole ProprietorYes
Enumeration DateMay 4, 2022
NPPES CertifiedApril 18, 2022
✔ NPI 1124763164 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
License✔ Licensed in CA · F04220387
6595 CANTATA DR, Eastvale, CA 92880
Open in Google Maps ↗

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. Jay Santillana Lardizabal Msn, Aprn, Fnp-c 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 92880 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Jay Lardizabal's NPI number?

The NPI number for Jay Lardizabal is 1124763164. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is Jay Lardizabal located?

Jay Lardizabal practices at 6595 Cantata Dr, Eastvale, CA 92880. The listed phone number is (951) 987-1133.

What is Jay Lardizabal's specialty?

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

Is Jay Lardizabal enrolled in Medicare?

Yes. Jay Lardizabal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jay Lardizabal was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.