Lisa Lindvall Aquino, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A106067 Issued in CA

Practice address

990 Pacific St
San Luis Obispo, CA 93401-6309

Phone

(805) 544-5567

Fax

(805) 544-5567

NPI assigned

Dec 29, 2011

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Charles B. Fishman, M.D., a Professional Corporation

  • Dermatology Physician
  • San Luis Obispo, CA
  • NPI 1255528113
  NPD
• San Luis Dermatology, Inc.

  • Dermatology Physician
  • San Luis Obispo, CA
  • NPI 1568431500
  NPD (past)

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1063781557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 PACIFIC ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016309",
            "telephone_number": "805-544-5567",
            "fax_number": "805-544-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 PACIFIC ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016309",
            "telephone_number": "805-544-5567",
            "fax_number": "805-544-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "LISA",
        "middle_name": "LINDVALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A106067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Applegate, RBT
• Rebecca Appling
• Apria Healthcare LLC
• Maria Gricelda Aquino-Anda
• Glen Arnold Aquino, MD
• Tia Araminta
• Joey Araujo II
• Monique Araya, M.D.
• Dustin Arbuckle
• Caroline Devincenzi Arceo, D.M.D.

• Dermatology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.