ESKEDAR LIDYANNA GIZAW NP
NPI 1861737017
Nurse Practitioner in Santa Monica, CA

Active since November 28, 2012PECOS Enrolled
1250 16TH ST # C2304, SANTA MONICA, CA 90404(310) 319-4698 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eskedar Lidyanna Gizaw Np NPPES

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

ESKEDAR LIDYANNA GIZAW NP (NPI 1861737017) is an individual nurse practitioner in Santa Monica, California, licensed in California (22211) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1861737017
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameESKEDAR LIDYANNA GIZAWCredential: NP
Location Address1250 16TH ST # C2304Santa Monica, CA 90404-1249
Mailing Address5767 W Century Blvd, Ste 400Los Angeles, CA 90095-5631 · (310) 301-8707
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 28, 2012
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
NPI 1861737017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 22211
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.

1250 16TH ST # C2304, Santa Monica, CA 90404

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Eskedar Lidyanna Gizaw Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779720909
PECOS Enrollment IDI20250925001508
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 90404 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims270 services$4.46 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,400 services$1.15 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers27 claims27 services$18.16 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.39 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers52 claims52 services$66.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Internal Medicine
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Internal Medicine
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Internal Medicine
1250 16TH ST # C2304
SANTA MONICA, CA 90404
Hospitalist
1250 16TH ST # C2304
SANTA MONICA, CA 90404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861737017, enumerated as an "individual" on November 28, 2012.

The provider is located at 1250 16TH ST # C2304 SANTA MONICA, CA 90404 and the phone number is (310) 319-4698.

Nurse Practitioner with taxonomy code 363L00000X.