Robert J. Lis D.O. Inc.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

20A6953 Issued in CA

Legal business name

ROBERT J. LIS D.O. INC.

Practice address

35800 Bob Hope Dr
Ste 100
Rancho Mirage, CA 92270-1739

Phone

(562) 407-2080

Fax

(562) 407-2082

NPI assigned

Sep 23, 2010

Last updated

Sep 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert J Lis, D.O.NPI 1780754713

Title

President

Phone

(562) 407-2080

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert James Lis, DO

  • Anesthesiology Physician
  • Rancho Mirage, CA
  • NPI 1780754713
  Authorized official Same address or phone

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1043528003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4259",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907034259",
            "telephone_number": "562-407-2080",
            "fax_number": "562-407-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35800 BOB HOPE DR",
            "address_2": "STE 100",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701739",
            "telephone_number": "562-407-2080",
            "fax_number": "562-407-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. LIS D.O. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "LIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-407-2080",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A6953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Brianna Rivera
• Gabrielle Rivera
• Steven Thomas Rivera, D.M.D.
• Riverside Radiology Medical Group Inc
• Sara Robbin
• Adam Roberts, M.D.
• Wendy Eileen Roberts, M.D.
• Linda Maxwell Robertson, MFT
• Christopher Robinson, M.D.
• John Floyd Robinson, M.D.

• Anesthesiology Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.