DR. ANGELYN MOULTRIE-LIZANA (D.O.) – Family Medicine Physician, NPI 1295749547
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
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Provider Addresses for DR. ANGELYN MOULTRIE-LIZANA (D.O.)
10251, Artesia Boulevard, Bellflower, Los Angeles County, California, 90706, United States
BELLFLOWER, CA 907066719
Phone: (562) 867-8681
Fax: (562) 925-2721
Type: Location
75 REMITTANCE DR DEPT 6008
CHICAGO, IL 606756008
Phone: (562) 282-1419
Fax: (562) 920-4642
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-01-13 • Largest payer in this snapshot: Novo Nordisk Inc ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-08-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050801000872 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 79 | 46 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 16 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 15 | $0 |
| G0008 | Administration of influenza virus vaccine | 13 | 13 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 12 | 12 | $0 |
Insurance plans in this area (ZIP 90706)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| A N E S T H E S I O L O G Y | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| - | CA | |
| P S Y C H I A T R Y | CA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| Endocrinology, Internal Medicine | CA |
Reviews
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