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LIZETH MEDINA-CAMELLO FNP-BC
NPI 1902482748
Nurse Practitioner - Family in Los Angeles, CA

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment
6041 CADILLAC AVENUE, LOS ANGELES, CA 90034(323) 857-3088 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, May 7, 2024, Jun 12, 2022 and 1 more (4 updates tracked since 2021).

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

NPI1902482748
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLIZETH MEDINA-CAMELLOCredential: FNP-BC
Location Address6041 CADILLAC AVENUELos Angeles, CA 90034
Mailing Address6041 Cadillac AvenueLos Angeles, CA 90034 · (323) 857-3088
Phone(323) 857-3088
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 22, 2021
Last NPPES UpdateAugust 13, 20254 updates tracked since enumeration
NPPES CertifiedJune 12, 2022
✔ NPI 1902482748 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 · 95015298
6041 CADILLAC AVENUE, Los Angeles, CA 90034
Open in Google Maps ↗

Other Names 1

Former Name (1)Lizeth Medina Fnp-bc

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

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.

PECOS PAC ID5395133060
PECOS Enrollment IDI20211028003136
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 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.

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 2

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

MARK PHILIP DIMAPAWI PHARM.D.
Pharmacist
6041 CADILLAC AVENUE
LOS ANGELES, CA 90034
Los Angeles County (323) 857-3989
DR. JAMIE DER JOON CHANG M.D., M.B.A
Emergency Medicine
6041 CADILLAC AVENUE, KAISER WEST LA MEDICAL CENTER, EMERGENCY DEPARTMENT
LOS ANGELES, CA 90034
Los Angeles County (323) 857-3161

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.

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 11 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.