Lisa Elaine Brand, M.D.
Individual provider Active NPI Surgery Physician · Camarillo, CA
NPI 1104178193 · NPPES record last updated Nov 2, 2023
Key facts
- NPI
- 1104178193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- A126474 (CA)
- Practice address
- 4542 Las Posas Rd Ste D
Camarillo, CA 93010-2521 - Phone
- (805) 322-8490
- Fax
- (805) 586-8066
- NPI assigned
- Oct 15, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4542 Las Posas Rd
Suite D
Camarillo, CA 93010-2521
Phone (805) 322-8490
Hospital & facility affiliations
- R & a Home Health Services, Inc
- St Johns Regional Medical Center
- Community Memorial Hospital - Ventura
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 11 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Varicose vein removal | 1-10 |
| Melanoma (skin cancer) excision | 15 |
| Removal of tissue | 226 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 17 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160816001479 | CA | Practitioner - General Surgery | 2961796842 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A126474 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgecrest Regional Hospital | Surgery | Current |
Accepting new patients |
| L E Brand, MD Corporation | Surgery | Current |
Accepting new patients |
| Neal P. Dixon, M.D., a General Surgical Medical Corporation | Surgery | Current |
Accepting new patients |
| Ridgecrest Regional Hospital | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Community Memorial Hospital | Past | Accepting new patients | |
| Santa Barbara Cottage Hospital | Past | Accepting new patients |
Locations
2438 N Ponderosa Dr
Ste C207
Camarillo, CA 93010
Phone (805) 484-3513
4542 Las Posas Rd
Ste D
Camarillo, CA 93010
Phone (805) 322-8490
1111 N China Lake Blvd
#220
Ridgecrest, CA 93555
Phone (760) 446-8100
1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616
1011 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 499-3360
1111 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-4571
Interoperability endpoints
- leb102pcs@m842.primeclinicalsystems.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A126474 | CA | Yes |
Addresses
Primary practice location
4542 Las Posas Rd Ste D
Camarillo, CA 93010-2521
Mailing address
5235 Mission Oaks Blvd # 301
Camarillo, CA 93012-5400
Other names
- Lisa Elaine Small
Other providers in Camarillo, CA
- Sarah Bradshaw
- Candice Lillian Brady
- Robin Colleen Shannon Brady
- Sarah Katharine Braid
- Sabrina Brana
- Ronald James Brand
- Lisa Branton
- Estrella Bravo
- Johanna Marlet Bravo
- Rosalinda Bravo
All providers in Camarillo, CA · Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.