Lisa An

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95364553 Issued in CA

Practice address

1000 Yulupa Ave
Santa Rosa, CA 95405-7020

Phone

(916) 305-0574

NPI assigned

Sep 3, 2025

Last updated

Oct 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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.

• Rincon Valley Union School District

  • Local Education Agency (LEA)
  • Santa Rosa, CA
  • NPI 1356559678
  NPD (past)

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1134009095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 APPLE CREEK LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954016190",
            "telephone_number": "916-305-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 YULUPA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057020",
            "telephone_number": "916-305-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AN",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95364553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles A Amezcua, M.D.
• Eric Amirkhani, PA-C
• Alexander Amochaeu
• Malia Victoria Amore
• Max Kieffer Amormino, PT, DPT
• Ananda Institute
• Gabriella Ann Anconetani, RAS
• Erin Andersen, MA, LMFT
• Nicolaj Andersen, MD
• Frank L Anderson, MD

• Registered Nurse in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.