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Active NPI 1336669548 Individual Practitioner Female Practitioner

Liss Mathew

Nurse Practitioner - Primary Care • Foothill Ranch, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Liss Mathew is a certified Nurse Practitioner - Primary Care practicing in Foothill Ranch, CA. With approximately 9 years of clinical experience since completing medical education in 2017, Liss Mathew delivers high-quality medical care to the local community at 44 TAVELLA PL.

Liss Mathew is affiliated with Southern California Permanente Medical Group and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

44 Tavella Pl

Foothill Ranch, CA 926102204

Telephone 9498723369

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Foothill Ranch, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs +3.0 yrs vs City Avg
City Avg: 6.0 Yrs
State Avg: 8.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Foothill Ranch, CA (1139 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mathew (9 Years) 9 Yrs
Foothill Ranch Specialty Average (6.0 Years) 6.0 Yrs

Medical Specialties & State Licenses

Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License CA 95006760

Definition to come...

Hospital & Practice Group Affiliations

Southern California Permanente Medical Group

5475 E La Palma Ave, Anaheim, CA 928072075

Phone: 7142796088

Southern California Permanente Medical Group

6 Willard, Irvine, CA 926044694

Phone: 9492625600

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2017

Registered at 44 TAVELLA PL, FOOTHILL RANCH, CA 926102204 (Tel: 9498723369)

📍
Updated Business Mailing Address June 20, 2017

Registered at 44 TAVELLA PL, FOOTHILL RANCH, CA 926102204

👤
Provider Name / Credentials Updated June 20, 2017

Recorded as LISS MATHEW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2017

Nurse Practitioner (License #95006760 in CA)

🟢
Initial NPI Registration & Enumeration June 20, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336669548
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2017
Last Update: November 18, 2021
Sole Proprietor: No

Mailing Address

44 Tavella Pl

Foothill Ranch, CA 926102204

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.