Individual provider Active NPI

Lisa Chuong

  • Physician Assistant
  • Sacramento, CA
National Provider Identifier
1164087482
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA67097 Issued in CA
Practice address
4301 X St
Sacramento, CA 95817-2214
Phone
(916) 734-2011
NPI assigned
May 2, 2019
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110010808 VA
Physician Assistant 363A00000X PA031611 DC
Physician Assistant 363A00000X C0009744 MD
Physician Assistant 363A00000X PA67097 CA Primary

Addresses

Primary practice location

4301 X St
Sacramento, CA 95817-2214

Mailing address

4301 X St
Sacramento, CA 95817-2214
Phone (916) 734-2011

Other practice location 1

110 Irving St NW # 3B19
Washington, DC 20010-3017
Phone (202) 877-7011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200406000873 DC Practitioner - Physician Assistant 0648609073 Reassigns benefits to 2 organizations
I20250710000456 MD Practitioner - Physician Assistant 0648609073 Reassigns benefits to 1 organization
I20260521002623 CA Practitioner - Physician Assistant 0648609073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

2221 Stockton Blvd
Sacramento, CA 95817-1418
Phone (916) 734-2680

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA67097CAMDPhysician Assistant
C0009744MDMDPhysician Assistant
0110010808VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Urology, PA CurrentSince Jun 26, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 7, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 7, 2022 Accepting new patients
Washington Hospital Center Corp CurrentSince Jan 27, 2020 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
WHC Physician Group LLC PastSince Aug 2, 2020 Accepting new patients
Washington Hospital Center Corp PastSince Aug 2, 2020 Accepting new patients

Locations

106 Irving St NW
Ste 315
Washington, DC 20010
Phone (202) 723-8000

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

110 Irving St NW
#3B19
Washington, DC 20010
Phone (202) 877-7011

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

600 Ridgely Ave
Annapolis, MD 21401
Phone (410) 224-7795

600 Ridgely Ave
Ste 130
Annapolis, MD 21401
Phone 4102668049157

600 Ridgely Ave
Ste 222223
Annapolis, MD 21401
Phone (410) 266-0895

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1164087482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 X ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172214",
            "telephone_number": "916-734-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 X ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172214",
            "telephone_number": "916-734-2011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Irving St NW # 3B19",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200103017",
            "country_code": "US",
            "telephone_number": "202-877-7011",
            "fax_number": "202-877-7012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUONG",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110010808",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA031611",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009744",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA67097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.