LIZETH MEDINA-CAMELLO FNP-BC
NPI 1902482748
Nurse Practitioner - Family in Los Angeles, CA
About Lizeth Medina-camello Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIZETH MEDINA-CAMELLO FNP-BC (NPI 1902482748) is an individual family provider in Los Angeles, California, licensed in California (95015298) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Lizeth Medina-camello Fnp-bc 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 Lizeth Medina-camello reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90034
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Los Angeles, CA 90062
- Reassigned Medicare billing, California enrollment
- 1,939 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 90034 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90034
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 Lizeth Medina-camello's NPI number?
The NPI number for Lizeth Medina-camello is 1902482748. It was assigned to this individual provider in the NPPES registry on March 22, 2021. The provider is also known as Lizeth Medina Fnp-Bc.
Where is Lizeth Medina-camello located?
Lizeth Medina-camello practices at 6041 Cadillac Avenue, Los Angeles, CA 90034. The listed phone number is (323) 857-3088.
What is Lizeth Medina-camello's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lizeth Medina-camello enrolled in Medicare?
Yes. Lizeth Medina-camello 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 Lizeth Medina-camello's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lizeth Medina-camello reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Los Angeles, CA) and County Of Los Angeles (Los Angeles, 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 Lizeth Medina-camello'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 Lizeth Medina-camello was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Lizeth Medina-Camello, FNP-BC · NPI 1902482748
Family physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 22, 2021.
## Identity
- **NPI:** 1902482748 (Entity type: Individual)
- **Enumerated:** March 22, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95015298 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 6041 CADILLAC AVENUE, Los Angeles, CA 90034
- **Phone:** (323) 857-3088
## 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): Southern California Permanente Medical Group (NPI 1043242563, Los Angeles, CA); County Of Los Angeles (NPI 1487848248, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902482748) · Data from the CMS NPPES public registry.