Individual provider Active NPI

Lisa Ann Stirling, M.D.

  • Dermatology Physician
  • Encinitas, CA
National Provider Identifier
1063685410
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A115720 Issued in CA
Practice address
477 N El Camino Real
Suite C204
Encinitas, CA 92024-1328
Phone
(760) 634-3376
Fax
(760) 634-7955
NPI assigned
Apr 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A115720 CA Primary

Addresses

Primary practice location

477 N El Camino Real
Suite C204
Encinitas, CA 92024-1328

Mailing address

Dept la 22966
Pasadena, CA 91185-0001
Phone (760) 634-3376

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110725000078 CA Practitioner - Dermatology 1557539228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Minnesota Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Dermatology GroupGroup PAC ID 9032281696, 6 clinicians

Practice addresses (Care Compare)

781 Garden View CT
Suite 201
Encinitas, CA 92024-2481
Phone (760) 634-3376

Merit-based Incentive Payment System (MIPS)

Final score
94.17 of 100Reported as individual
Quality
88.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal of skin lesions573
Removal or shaving of skin growth1-10
Skin biopsy230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A115720CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Dermatology Group Dermatology CurrentSince Jul 1, 2011 Accepting new patients

Locations

781 Garden View Ct
Ste 201
Encinitas, CA 92024
Phone (760) 634-3316

477 N El Camino Real
Ste C204
Encinitas, CA 92024
Phone (760) 230-2256

Organizations & group practices 2

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": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1063685410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 22966",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911850001",
            "telephone_number": "760-634-3376",
            "fax_number": "760-634-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL",
            "address_2": "SUITE C204",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241328",
            "telephone_number": "760-634-3376",
            "fax_number": "760-634-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIRLING",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A115720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.