Lisha Lynne Wilson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G73584 Issued in CA

Practice address

400 29TH St
Ste 501
Oakland, CA 94609-3550

Phone

(510) 268-1800

Fax

(510) 268-1803

NPI assigned

Aug 29, 2005

Last updated

Aug 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Howard University College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Equity HealthGroup PAC ID 3072644673, shared by 3 NPIs, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: lwilson581857@direct.ochin.org
• Direct secure messaging: lisha.wilson.p1@direct.smhc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Bay Area Quality Health Corporation

  • Family Medicine Physician
  • Oakland, CA
  • NPI 1295182335
  Medicare reassignment NPD
• California Pacific Medical Group, Inc.

  dba Brown & Toland Medical Group

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1275002453
  NPD (past)
• Equity Health

  dba South of Market Health Center

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1184913956
  NPD (past)
• Equity Health

  dba South of Market Health Center

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1487638490
  NPD (past)
• Equity Health

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1528143401
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sutter Bay Hospitals

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1740348929
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1003809765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 29TH ST",
            "address_2": "STE 501",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093550",
            "telephone_number": "510-268-1800",
            "fax_number": "510-268-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 29TH ST",
            "address_2": "STE 501",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093550",
            "telephone_number": "510-268-1800",
            "fax_number": "510-268-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LISHA",
        "middle_name": "LYNNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G73584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgina Wilson
• Jasmine Wilson
• Johnette B. Wilson III, R.T.
• Keyana Wilson
• Kyle Ian Wilson
• Maud Wilson
• Michelle Wilson
• Patricia Wilson, CRNA
• Rachel Leigh Wilson, M.S.W.
• Raven Michelle Wilson

• Internal Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.