Active NPI
Lisa Christine Underwood, D.O.
- Obstetrics & Gynecology Physician
- San Diego, CA
National Provider Identifier
1225319742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 20A11865
- Practice address
- 7695 Cardinal CT Ste 240
San Diego, CA 92123-3357 - Phone
- (858) 277-9378
- Fax
- (858) 277-9370
- NPI assigned
- Aug 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 20A11865 | CA | Primary |
Addresses
Primary practice location
7695 Cardinal CT Ste 240
San Diego, CA 92123-3357
Mailing address
1391 Clemson Way
Riverside, CA 92507-2727
Phone (858) 336-9981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A11865 | Other | CA | MEDICAL LICENSE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7695 Cardinal CT
Suite 240
San Diego, CA 92123-3357
Phone (858) 277-9378
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11865 | CA | MD | Acupuncturist |
| 20A11865 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Sharp Chula Vista Medical Center | Past | Accepting new patients | |
| Rady Children'S Hospital San Diego | Past | Accepting new patients |
Interoperability endpoints
- lunderwood32375@sharphealthcare.direct-ci.com
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- San Diego, CA
- NPI 1447216106
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
-
- Skilled Nursing Facility
- Chula Vista, CA
- NPI 1538142369
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1225319742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1391 CLEMSON WAY",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925072727",
"telephone_number": "858-336-9981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7695 CARDINAL CT STE 240",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921233357",
"telephone_number": "858-277-9378",
"fax_number": "858-277-9370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "LISA",
"middle_name": "CHRISTINE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-30",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "20A11865",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "20A11865",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.