Individual provider Active NPI

Lisa Fortes, ND, DTCM

  • Naturopath
  • San Jose, CA
National Provider Identifier
1043867005
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND1025 Issued in CA
Practice address
3535 Ross Ave Ste 101
San Jose, CA 95124-3038
Phone
(831) 783-5983
Fax
(844) 740-0003
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND1025 CA Primary

Addresses

Primary practice location

3535 Ross Ave Ste 101
San Jose, CA 95124-3038

Mailing address

7722B SE 64TH Ave
Portland, OR 97206-9669
Phone (831) 783-5983

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

State licenses

LicenseStateTypeSpecialty
ND1025CAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Roaming Naturopath CurrentSince Nov 17, 2024 Accepting new patients

Locations

3535 Ross Ave
Ste 101
San Jose, CA 95124
Phone (408) 357-3422

Interoperability endpoints

  • Direct secure messaging: lisa.fortes-schramm@198677148008452.direct.elationemr.com

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": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1043867005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7722B SE 64TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972069669",
            "telephone_number": "831-783-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 ROSS AVE STE 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243038",
            "telephone_number": "831-783-5983",
            "fax_number": "844-740-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTES",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "ND, DTCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND1025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 10, 2026; 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.