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Active NPI 1568071660 Individual Practitioner Female Practitioner

Elizabeth Ann Custodio , NP-C

Nurse Practitioner • Orange, CA

Professional Overview & Biography Verified Profile Summary

Elizabeth Custodio, NP-C is a registered healthcare professional specializing in Nurse Practitioner in Orange, CA. Practice services are available at 170 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

170 S Main St

Orange, CA 928682801

Telephone 7142887651
Associated Practice Facility / Clinic
🏢 Butani Pain Clinic Inc Facility NPI 1477780013

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Orange, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.4 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
149 Specialists

Practicing in Orange, CA (8378 Statewide)

Telehealth Adoption Rate
20.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95010582

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Eric Ishijima , BCBA

Behavior Analyst

NPI 1063044683

Board Certified Behavior Analyst

Dr. Jonathan Megerian , MD, PhD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1124065891

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Christine Sewell , BCBA

Behavior Analyst

NPI 1366009326

Board Certified Behavior Analyst

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2020

Registered at 170 S MAIN ST, ORANGE, CA 928682801 (Tel: 7142887651)

📍
Updated Business Mailing Address July 24, 2020

Registered at 38919 HUDDLESTONE CT, MURRIETA, CA 925632589 (Tel: 9518946484)

👤
Provider Name / Credentials Updated July 24, 2020

Recorded as ELIZABETH CUSTODIO, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2020

Nurse Practitioner (License #95010582 in CA)

🟢
Initial NPI Registration & Enumeration July 24, 2020

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: 1568071660
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2020
Last Update: November 27, 2023
Sole Proprietor: No

Mailing Address

38919 Huddlestone Ct

Murrieta, CA 925632589

Phone: 9518946484

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.