Lisa Thiel Vasak, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G77546 Issued in CA

Practice address

5920 West Mall
Atascadero, CA 93422

Phone

(805) 466-0676

NPI assigned

Feb 7, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

99.64 of 100Reported as apm

Quality

86.27

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Pacific Central Coast Health Centers

  • Community Health Clinic/Center
  • Bakersfield, CA
  • NPI 1720752355
  NPD (past)
• Saint John'S Health Clinic

  • Specialist
  • Santa Monica, CA
  • NPI 1336438902
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1023081510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 WEST MALL",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224232",
            "telephone_number": "805-466-0676",
            "fax_number": "805-466-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 WEST MALL",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "93422",
            "telephone_number": "805-466-0676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 E Clark Ave Ste 120A",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934555175",
            "country_code": "US",
            "telephone_number": "805-332-8185",
            "fax_number": "805-332-8186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2271 S Depot St",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934551216",
            "country_code": "US",
            "telephone_number": "805-922-0561",
            "fax_number": "805-922-0083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "877 Oak Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Pismo Beach",
            "state": "CA",
            "postal_code": "934493292",
            "country_code": "US",
            "telephone_number": "805-474-8450",
            "fax_number": "805-474-8454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASAK",
        "first_name": "LISA",
        "middle_name": "THIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G77546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Van Beurden
• Kimberly Brooke Van Den Enden, M.S. CCC-SLP
• Stefan Charles Van Harmelen, D.D.S.
• Stacie Van Scoy
• Rose Marie Vargas
• Vanessa Haide Vega Razo
• Nathan Velazquez, DPT
• Naticia Isabel Velazquez
• Valerie Sylvia Verde, MD
• Monica Vidal Barron

• Internal Medicine Physician in Atascadero, CA
• Providers in Atascadero, 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 Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.