Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eladio Mariano Lacsamana Tizon, NP

Individual provider Nurse Practitioner · NPI 1073939781

Eladio Mariano Lacsamana Tizon, NP is a Nurse Practitioner in LA Habra, California. Qualified in 2011, 15 years ago. Practices with Integrative Urgent Care, Inc, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2014
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1040 W Imperial Hwy Ste D
LA Habra, CA 90631-0608
Phone: (714) 451-1072
Fax: (714) 451-1078
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 148 N Grand Ave, Glendora, CA 91741-2434 — (626) 594-0478

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 23647 (CA)

Record details

NPI number1073939781
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 6, 2014
Last updated in NPPESApril 24, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Integrative Urgent Care, Inc. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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