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LISS MATHEW
NPI 1336669548
Nurse Practitioner - Primary Care in Foothill Ranch, CA

Active since June 20, 2017PECOS EnrolledAccepts Medicare Assignment
44 TAVELLA PL, FOOTHILL RANCH, CA 92610(949) 872-3369 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2021, Jun 20, 2017 (2 updates tracked since 2017).

About Liss Mathew NPPES

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

LISS MATHEW (NPI 1336669548) is an individual primary care provider in Foothill Ranch, California, licensed in California (95006760) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1336669548
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLISS MATHEW
Location Address44 TAVELLA PLFoothill Ranch, CA 92610-2204
Mailing Address44 Tavella PlFoothill Ranch, CA 92610-2204
Phone(949) 872-3369
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 20, 2017
Last NPPES UpdateNovember 18, 20212 updates tracked since enumeration
✔ NPI 1336669548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95006760
44 TAVELLA PL, Foothill Ranch, CA 92610
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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

Liss Mathew 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 ID7416368758
PECOS Enrollment IDI20201118000770
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 92610 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 Liss Mathew's NPI number?

The NPI number for Liss Mathew is 1336669548. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Liss Mathew located?

Liss Mathew practices at 44 Tavella Pl, Foothill Ranch, CA 92610. The listed phone number is (949) 872-3369.

What is Liss Mathew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Liss Mathew enrolled in Medicare?

Yes. Liss Mathew 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 Liss Mathew was last updated on November 18, 2021. 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.