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ELIZA KYM LIWANAG
NPI 1245935915
Nurse Practitioner in Loma Linda, CA

Active since April 03, 2023PECOS EnrolledAccepts Medicare Assignment
11262 CAMPUS ST, LOMA LINDA, CA 92350(909) 558-1000 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2025, Apr 3, 2023 (2 updates tracked since 2023).

About Eliza Kym Liwanag NPPES

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

ELIZA KYM LIWANAG (NPI 1245935915) is an individual nurse practitioner in Loma Linda, California, licensed in California (95031075) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1245935915
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELIZA KYM LIWANAG
Location Address11262 CAMPUS STLoma Linda, CA 92350-1727
Mailing Address11262 Campus StLoma Linda, CA 92350-1727 · (909) 558-1000
Phone(909) 558-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 3, 2023
Last NPPES UpdateFebruary 25, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1245935915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95031075
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11262 CAMPUS ST, Loma Linda, CA 92350
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eliza Kym Liwanag is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820519168
PECOS Enrollment IDI20250304000646
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 92350 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.

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.

KATHERINE HUAY-HSIEN GOH
Nurse Practitioner
11262 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-1000
KATELYN HORNE
Pharmacist
11262 CAMPUS ST, SCHOOL OF PHARMACY
LOMA LINDA, CA 92350
San Bernardino County (707) 372-3413
NIKA SPENCER RN, AGNP CANDIDATE
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4923
JULIUS ERWIN MACROHON REYES
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4923
MS. MEGANN LEIGH SYNNOTT
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-1000
JACKIE RAYGOZA
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4923
LUCHIA LYNETTE HANSEN BSN, RN, AGNP-S
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-1000
HEATHER PAULA RODRIGUEZ
Nurse Anesthetist, Certified Registered
11262 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4923

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 Eliza Kym Liwanag's NPI number?

The NPI number for Eliza Kym Liwanag is 1245935915. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Eliza Kym Liwanag located?

Eliza Kym Liwanag practices at 11262 Campus St, Loma Linda, CA 92350. The listed phone number is (909) 558-1000.

What is Eliza Kym Liwanag's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Eliza Kym Liwanag enrolled in Medicare?

Yes. Eliza Kym Liwanag is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Eliza Kym Liwanag was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.