Active NPI
Lisa Charo Bain, MD
- Neonatal-Perinatal Medicine Physician
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- A108858
- Practice address
- 725 Welch Rd
Palo Alto, CA 94304-1601 - Phone
- (650) 497-8000
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L-228673 | MA | |
| Pediatrics Physician | 208000000X | A108858 | CA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | A108858 | CA | Primary |
Addresses
Primary practice location
725 Welch Rd
Palo Alto, CA 94304-1601
Mailing address
505 Parnassus Ave
Box 910 UCSF Pedicatrics
San Francisco, CA 94143-0110
Phone (415) 476-1000
Other practice location 1
505 Parnassus Ave
UCSF
San Francisco, CA 94143-0110
Phone (415) 476-1000
Other names 1
- Ms. Lisa Neighbor Charo
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A108858 | CA | MD | Pediatrics Physician |
| L-228673 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Pediatrics | Current | Accepting new patients |
Locations
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1043347495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 PARNASSUS AVE",
"address_2": "BOX 910 UCSF PEDICATRICS",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941430110",
"telephone_number": "415-476-1000",
"fax_number": "415-476-5645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
}
],
"practiceLocations": [
{
"address_1": "505 Parnassus Ave",
"address_2": "UCSF",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941430110",
"country_code": "US",
"telephone_number": "415-476-1000",
"fax_number": "415-476-5645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAIN",
"first_name": "LISA",
"middle_name": "CHARO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "L-228673",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A108858",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "A108858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "CHARO",
"middle_name": "NEIGHBOR",
"prefix": "MS.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.