Individual provider Active NPI

Lisa M.M. Pitino, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Laguna Hills, CA
National Provider Identifier
1245415280
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
20A 10571 Issued in CA
Practice address
23521 Paseo de Valencia
Suite 204
Laguna Hills, CA 92691-3101
Phone
(949) 458-2026
Fax
(949) 273-8053
NPI assigned
Jan 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 20A 10571 CA Primary

Addresses

Primary practice location

23521 Paseo de Valencia
Suite 204
Laguna Hills, CA 92691-3101

Mailing address

23521 Paseo de Valencia
Suite 204
Laguna Hills, CA 92653-3101
Phone (949) 458-2026

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110602000757 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 9739240300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350

2212 E 4TH St
Santa Ana, CA 92705-3870
Phone (714) 633-1011

2501 E Chapman Ave
Orange, CA 92869-3204
Phone (714) 633-7175

Hospital & facility affiliations

  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A 10571CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Apr 22, 2012 Accepting new patients
Providence Medical Foundation CurrentSince Apr 22, 2012 Accepting new patients
Providence Medical Foundation Current Accepting new patients
James J Lynch MD LTD Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 400
Anaheim, CA 92805

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

2212 E 4th St
Santa Ana, CA 92705
Phone (714) 288-3230

2212 E 4th St
Ste 202
Santa Ana, CA 92705
Phone (714) 228-3230

Interoperability endpoints

  • Direct secure messaging: lpitino1373713@oc.providencedirect.org

Organizations & group practices 7

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.

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": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1245415280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE 204",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533101",
            "telephone_number": "949-458-2026",
            "fax_number": "949-273-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE 204",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926913101",
            "telephone_number": "949-458-2026",
            "fax_number": "949-273-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITINO",
        "first_name": "LISA",
        "middle_name": "M.M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "20A 10571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.