LIZARRAGA MEDICAL CENTER INC
NPI 1831668292
General Practice in Colton, CA

Active since November 15, 2018
895 W VALLEY BLVD, COLTON, CA 92324(909) 824-3389(909) 824-1087 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lizarraga Medical Center Inc NPPES

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

LIZARRAGA MEDICAL CENTER INC (NPI 1831668292) is a healthcare organization registered as a general practice in Colton, California and active in the NPI registry since November 2018. The organization lists Ginger Johnson, Manager, as its authorized official.

NPPES Registry Identity

NPI1831668292
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLIZARRAGA MEDICAL CENTER INC
Location Address895 W VALLEY BLVDColton, CA 92324-2001
Mailing Address895 W Valley BlvdColton, CA 92324-2001 · (909) 824-3389 · Fax (909) 824-1087
Fax(909) 824-1087
Organization SubpartNo
Authorized OfficialGinger JohnsonManager · (818) 294-2657
Enumeration DateNovember 15, 2018
✔ NPI 1831668292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
895 W VALLEY BLVD, Colton, CA 92324

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lizarraga Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lizarraga Medical Center Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Practice
NPI 1417126764
895 W. VALLEY BLVD.
Colton, CA 92324
(562) 654-6855
✔ PECOS✔ Accepts MedicareSame address

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

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 Lizarraga Medical Center Inc's NPI number?

The NPI number for Lizarraga Medical Center Inc is 1831668292. It was assigned to this organization in the NPPES registry on November 15, 2018.

Where is Lizarraga Medical Center Inc located?

Lizarraga Medical Center Inc is located at 895 W Valley Blvd, Colton, CA 92324. The listed phone number is (909) 824-3389.

What is Lizarraga Medical Center Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Lizarraga Medical Center Inc enrolled in Medicare?

Yes. Lizarraga Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lizarraga Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Lizarraga Medical Center Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lizarraga Medical Center Inc was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.