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NPI 1396114724ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Loma Linda, CA
Nurse Practitioner, Psych/Mental Health in Loma Linda, California, registered in NPPES in September 2015. The authorized official on file is Liberty Macias, PMHNP-BC, Ceo.
Overview
| NPI | 1396114724 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2015 |
| Last updated in NPPES | Sep 16, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 95002264 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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