KNEF V JR. LIZASO – Emergency Medicine Physician, NPI 1396799532

KNEF V JR. LIZASO is a healthcare provider. based in Rancho palos verdes, California. specializing in EMERGENCY MEDICINE. They hold a License No. 11684 (NV). The NPI Number for KNEF V JR. LIZASO is 1396799532

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
KNEF V JR. LIZASO
NPI
1396799532
Phone
(310) 529-9028
Address
28610 CEDARBLUFF DR
Enumeration Date
20 May 2006
Last Update Date
31 July 2008

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
3105145350
Graduation Year
2001 (25 years ago)
PAC ID
9436124419
Group Practice PAC ID
4688097066
Professional Enrollment ID
I20040901000977
Address ID
CA907323505SA1300XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

520 EMERGENCY MEDICINE in NV

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Provider Addresses for KNEF V JR. LIZASO

  • 28610, Cedarbluff Drive, Rancho Palos Verdes, Los Angeles County, California, 90275, United States

    RANCHO PALOS VERDES, CA 902753114

    Phone: (310) 529-9028

    Type: Mailing

  • 620, Shadow Lane, Las Vegas, Clark County, Nevada, 89106, United States

    LAS VEGAS, NV 891064119

    Phone: (702) 388-4500

    Type: Location

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 $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-07-17 • Largest payer in this snapshot: Abbott Laboratories ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$25
View all Open Payments →|Open Payments Risk Radar →

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: 2004-09-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040901000977IEmergency MedicineCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making134127$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only130122$0
99291Critical care, first 30-74 minutes122117$0
99284Emergency department visit with moderate level of medical decision making4140$0
71045X-ray of chest, 1 view1313$0
View full utilization report →

Insurance plans in this area (ZIP 90275)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688097066View full group profile
NameSpecialtyState
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineIL
Physician AssistantCA
Physician AssistantCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineNY
Emergency MedicineCA

Reviews

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Frequently asked questions

What unique ID ties claims to KNEF V JR. LIZASO?
NPI 1396799532 is assigned to KNEF V JR. LIZASO under the national enumeration system.
Is KNEF V JR. LIZASO's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does KNEF V JR. LIZASO treat or focus on?
Patients typically see KNEF V JR. LIZASO under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for KNEF V JR. LIZASO?
The page summarizes Rancho Palos Verdes, California for KNEF V JR. LIZASO; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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