Ralph Lissaur, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A88975 Issued in CA

Practice address

14252 Culver Dr
A-255
Irvine, CA 92604-0317

Phone

(949) 280-9647

Fax

(949) 581-0911

NPI assigned

May 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Arizona College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

David Desai MD IncGroup PAC ID 6204148794, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• David Desai MD Inc

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1174901128
  Medicare reassignment Care Compare group NPD
• Archis Desai MD Inc.

  • Internal Medicine Physician
  • Redlands, CA
  • NPI 1639696412
  Medicare reassignment NPD
• County of Humboldt

  • State or Local Public Health Clinic/Center
  • Eureka, CA
  • NPI 1871676213
  Medicare reassignment NPD
• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Indio, CA
  • NPI 1023122967
  Medicare reassignment NPD
• Ralph Lissaur, M.D., P.C.

  • Community/Behavioral Health Agency
  • Riverside, CA
  • NPI 1275065088
  NPD (past) Authorized official
• County of Humboldt

  dba Humboldt County Behavioral Health

  • Community/Behavioral Health Agency
  • Eureka, CA
  • NPI 1033300306
  NPD
• County of Humboldt

  • Clinical Medical Laboratory
  • Eureka, CA
  • NPI 1689751687
  NPD
• County of Riverside

  dba Juvenile Hall Murrieta

  • Community/Behavioral Health Agency
  • Murrieta, CA
  • NPI 1508108788
  NPD
• Moataz Giurgius M D Inc

  • Psychiatry Physician
  • Yorba Linda, CA
  • NPI 1275570756
  NPD (past)
• Sameh Elsanadi MD,Inc.

  • Geriatric Psychiatry Physician
  • Irvine, CA
  • NPI 1396881207
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245287960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14252 CULVER DR",
            "address_2": "A-255",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040317",
            "telephone_number": "949-280-9647",
            "fax_number": "949-581-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14252 CULVER DR",
            "address_2": "A-255",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040317",
            "telephone_number": "949-280-9647",
            "fax_number": "949-581-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISSAUR",
        "first_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A88975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Louise Lippincott, PMHNP-BC
• Lisa J. Grajewski Clinical and Forensic Psychology, Inc
• Christian Qin Lise, LMFT
• Austen J Lison
• Sarah Ann Liss, MD
• Claire Dellegrotti Liston, APRN ,FNP, AGPCNP-BC
• Nivin Liswi
• Harcrystal Litt
• Joshlynn Little
• Tammy Liu NA, O.D.

• Psychiatry Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.