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ELIZABETH MAIRLA LANDAVERDE NURSE PRACTITIONER
NPI 1871475285
Nurse Practitioner - Family in Northridge, CA

Active since July 24, 2025PECOS Enrolled
17075 DEVONSHIRE ST STE 201, NORTHRIDGE, CA 91325(818) 923-5453 Get Directions Write a Review

NPPES record last updated: August 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Mairla Landaverde Nurse Practitioner NPPES

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

ELIZABETH MAIRLA LANDAVERDE NURSE PRACTITIONER (NPI 1871475285) is an individual family provider in Northridge, California, licensed in California (95036232) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1871475285
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH MAIRLA LANDAVERDECredential: NURSE PRACTITIONER
Location Address17075 DEVONSHIRE ST STE 201Northridge, CA 91325-5407
Mailing AddressPo Box 565Woodland Hills, CA 91365-0565
Phone(818) 923-5453
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 24, 2025
Last NPPES UpdateAugust 2, 2025
NPPES CertifiedAugust 2, 2025
✔ NPI 1871475285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95036232
17075 DEVONSHIRE ST STE 201, Northridge, CA 91325
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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 (PECOS)

Elizabeth Mairla Landaverde Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254802978
PECOS Enrollment IDI20260603003857
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 91325 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMAN FAKHERI MD INC
Internal Medicine (Cardiovascular Disease)
17075 DEVONSHIRE ST STE 201
NORTHRIDGE, CA 91325
Los Angeles County (818) 923-5453
GARY CRISTOFER MOLINA FNP
Nurse Practitioner (Family)
17075 DEVONSHIRE ST STE 201
NORTHRIDGE, CA 91325
Los Angeles County (818) 923-5453
CARDIOLOGY PRACTICE MEDICAL GROUP
Specialist
17075 DEVONSHIRE ST STE 201
NORTHRIDGE, CA 91325
Los Angeles County (818) 365-9595
DR. SAMAN FAKHERI M.D.
Internal Medicine
17075 DEVONSHIRE ST STE 201
NORTHRIDGE, CA 91325
Los Angeles County (818) 923-5453

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 Elizabeth Landaverde's NPI number?

The NPI number for Elizabeth Landaverde is 1871475285. It was assigned to this individual provider in the NPPES registry on July 24, 2025.

Where is Elizabeth Landaverde located?

Elizabeth Landaverde practices at 17075 Devonshire St Ste 201, Northridge, CA 91325. The listed phone number is (818) 923-5453.

What is Elizabeth Landaverde's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elizabeth Landaverde enrolled in Medicare?

Yes. Elizabeth Landaverde is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Landaverde was last updated on August 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.