ELIZA KYM LIWANAG
NPI 1245935915
Nurse Practitioner in Loma Linda, CA
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Eliza Kym Liwanag reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Colton, CA 92324
- Reassigned Medicare billing, California enrollment
- 58 clinicians in this Medicare group
Fontana, CA 92336
- Reassigned Medicare billing, California enrollment
- 80 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
LOMA LINDA, CA 92350
LOMA LINDA, CA 92350
LOMA LINDA, CA 92350
LOMA LINDA, CA 92350
LOMA LINDA, CA 92350
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.
Which organizations bill Medicare for Eliza Kym Liwanag's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eliza Kym Liwanag reassigns Medicare benefits to 2 organizations: Vituity Healthcare Services PC (Colton, CA) and Vituity Physician Services PC (Fontana, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eliza Kym Liwanag's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 20 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.
# Eliza Kym Liwanag · NPI 1245935915
Nurse Practitioner physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since April 3, 2023.
## Identity
- **NPI:** 1245935915 (Entity type: Individual)
- **Enumerated:** April 3, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95031075 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11262 CAMPUS ST, Loma Linda, CA 92350-1727
- **Phone:** (909) 558-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Vituity Healthcare Services PC (NPI 1700642758, Colton, CA); Vituity Physician Services PC (NPI 1124884176, Fontana, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1245935915) · Data from the CMS NPPES public registry.