Individual provider Active NPI

Liza Aline Shiff, MD

  • General Practice Physician
  • San Jose, CA
National Provider Identifier
1003982265
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A066416 Issued in CA
Practice address
2101 Forest Ave
Ste 116
San Jose, CA 95128-1472
Phone
(408) 971-8080
Fax
(408) 971-2545
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A066416 CA Primary

Addresses

Primary practice location

2101 Forest Ave
Ste 116
San Jose, CA 95128-1472

Mailing address

2101 Forest Ave
Ste 116
San Jose, CA 95128-1472
Phone (408) 971-8080

Other names 1

  • Liza Aline Feigenbaum Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A066416CAMDGeneral Practice Physician

Interoperability endpoints

  • Direct secure messaging: liza.shiff@49412312072196.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003982265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 FOREST AVE",
            "address_2": "STE 116",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281472",
            "telephone_number": "408-971-8080",
            "fax_number": "408-971-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FOREST AVE",
            "address_2": "STE 116",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281472",
            "telephone_number": "408-971-8080",
            "fax_number": "408-971-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFF",
        "first_name": "LIZA",
        "middle_name": "ALINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A066416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZA",
            "last_name": "FEIGENBAUM",
            "middle_name": "ALINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.