Lisa Ferguson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

60572 Issued in CA

Practice address

246 Town Center Pkwy
Santee, CA 92071-5803

Phone

(619) 312-6006

NPI assigned

Aug 12, 2011

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Jadali-Araghi and Nosti Dental Corporation

  • General Practice Dentistry
  • Santee, CA
  • NPI 1467620120
  NPD (past)

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1215216817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504373",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921504373",
            "telephone_number": "858-335-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 TOWN CENTER PKWY",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920715803",
            "telephone_number": "619-312-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Everette, OTR/L
• Chloe Love Fairman, DDS
• Lucia Fajardo, NURSE PRACTITIONER
• Jessica Lee Falcone Torres
• Katelyn Farr, COTA/L
• Ma. Criselda Bayalan Ferrer
• Viet My Nguyen-Ngo Ferrer
• Rebecca Ferrini, MD
• Genet Melles Fessehaye, RN
• Hana Tesfaye Fikes

• Dentist in Santee, CA
• Providers in Santee, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.