Individual provider Active NPI

Lisa H Dang, M.D.

  • Ophthalmology Physician
  • Beverly Hills, CA
National Provider Identifier
1083938096
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A154089 Issued in CA
Practice address
250 N Robertson Blvd Ste 102
Beverly Hills, CA 90211-1767
Phone
(310) 385-3540
Fax
(310) 385-3521
NPI assigned
Mar 19, 2010
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD.207237 LA
Ophthalmology Physician 207W00000X A154089 CA Primary

Addresses

Primary practice location

250 N Robertson Blvd Ste 102
Beverly Hills, CA 90211-1767

Mailing address

100 E California Blvd
Pasadena, CA 91105-3205
Phone (008) 898-2020

Other practice location 1

14501 Magnolia St
Westminster, CA 92683-1306
Phone (714) 594-7575

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
I20190403001713 CA Practitioner - Ophthalmology 2264653690 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth J Miller MD a Medical CorpGroup PAC ID 9234166695, 4 clinicians

Practice addresses (Care Compare)

1360 W 6TH St
Suite 215
San Pedro, CA 90732-3562
Phone (310) 547-9991

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154089CAMDOphthalmology Physician
MD.207237LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Eyecare Medical Associates Ophthalmology CurrentSince Feb 12, 2021 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 1, 2021 Accepting new patients
Eyecare Medical Corporation Ophthalmology CurrentSince Oct 1, 2020 Accepting new patients
Eyecare Medical Corporation Ophthalmology CurrentSince Oct 1, 2020 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Past Accepting new patients

Locations

19038 Norwalk Blvd
Artesia, CA 90701
Phone (562) 653-9500

250 N Robertson Blvd
Ste 102
Beverly Hills, CA 90211
Phone (310) 385-3450

250 N Robertson Blvd
Ste 606
Beverly Hills, CA 90211
Phone (310) 248-6840

450 N Roxbury Dr
Ste 600
Beverly Hills, CA 90210
Phone (310) 651-2050

5832 Beach Blvd
Unit 109A
Buena Park, CA 90621
Phone (714) 228-1888

2030 Pacific Coast Hwy
Lomita, CA 90717
Phone (310) 325-8018

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838

1360 W 6th St
Ste 215
San Pedro, CA 90732
Phone (310) 547-9991

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ldang239677@direct.cshs.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1083938096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053205",
            "telephone_number": "008-898-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD STE 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111767",
            "telephone_number": "310-385-3540",
            "fax_number": "310-385-3521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14501 Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926831306",
            "country_code": "US",
            "telephone_number": "714-594-7575",
            "fax_number": "714-594-7567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANG",
        "first_name": "LISA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD.207237",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A154089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.