Individual provider Active NPI

Lisa Paul, NP

  • Family Nurse Practitioner
  • Covina, CA
National Provider Identifier
1184083099
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003888 Issued in CA
Practice address
420 W Rowland St
Covina, CA 91723-2943
Phone
(626) 331-6411
Fax
(626) 251-1559
NPI assigned
Feb 19, 2016
Last updated
Apr 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95003888 CA Primary

Addresses

Primary practice location

420 W Rowland St
Covina, CA 91723-2943

Mailing address

420 W Rowland St
Covina, CA 91723-2943
Phone (626) 331-6411

Other names 1

  • Lisa Gaye Webb Other name

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address lpaul1139884@oc.providencedirect.org
Direct Messaging Address lpaul1139884@oc.providencedirect.org
Direct Messaging Address lpaul1139884@oc.providencedirect.org
Direct Messaging Address lpaul1139884@oc.providencedirect.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160412001352 CA Practitioner - Nurse Practitioner 0648578468 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun Medical Group IncGroup PAC ID 8426388810, 19 clinicians
Culver Emergency Medical GroupGroup PAC ID 0244378677, 17 clinicians

Practice addresses (Care Compare)

1711 W Katella Ave
Anaheim, CA 92804-6450
Phone (714) 337-9393

27522 Antonio Pkwy
Suite P3
Ladera Ranch, CA 92694-2166
Phone (949) 207-3786

3828 Delmas Ter
Culver City, CA 90232-2713
Phone (310) 202-4745

3851 Katella Ave
Suite 100
Los Alamitos, CA 90720-3385
Phone (562) 430-4138

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95003888CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Medical Group, Inc Current Accepting new patients
Sun Medical Group, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Sep 5, 2024 Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Sep 5, 2024 Accepting new patients
Centinela Freeman Emergency Medical Associates, Inc. CurrentSince Jan 4, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 27, 2017 Accepting new patients
Culver Emergency Medical Group CurrentSince Feb 13, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 27, 2017 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

1711 W Katella Ave
Anaheim, CA 92804
Phone (714) 337-9393

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

13299 South St
Cerritos, CA 90703
Phone (562) 865-8750

3195 Harbor Blvd
Ste 3
Costa Mesa, CA 92626
Phone (714) 263-0227

420 W Rowland St
Covina, CA 91723
Phone (626) 331-6411

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

10165 Valley View St
Cypress, CA 90630
Phone (657) 348-2427

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

14443 Culver Dr
#14443A
Irvine, CA 92604
Phone (949) 767-8173

14443 Culver Dr
Ste 14443A
Irvine, CA 92604

1040 W Imperial Hwy
Ste D
La Habra, CA 90631
Phone (714) 451-1072

27522 Antonio Pkwy
Ste P3
Ladera Ranch, CA 92694
Phone (949) 207-3786

3851 Katella Ave
Ste 100
Los Alamitos, CA 90720
Phone (562) 424-5450

858 N Rose Dr
Ste C2
Placentia, CA 92870
Phone (714) 792-3736

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Interoperability endpoints

  • Direct secure messaging: lpaul1139884@oc.providencedirect.org

Organizations & group practices 8

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 2

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": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1184083099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W ROWLAND ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232943",
            "telephone_number": "626-331-6411",
            "fax_number": "626-251-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W ROWLAND ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232943",
            "telephone_number": "626-331-6411",
            "fax_number": "626-251-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lpaul1139884@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "17585 Harvard Ave Ste D",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926148545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lpaul1139884@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "600 Newport Center Dr Ste 150",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926606418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lpaul1139884@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2321 Hawthorne Blvd",
            "city": "Redondo Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902783400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lpaul1139884@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1538 E Chapman Ave",
            "city": "Orange",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928662231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WEBB",
            "middle_name": "GAYE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.