Active NPI
Lisa M.M. Pitino, D.O.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Laguna Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 20A 10571
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A 10571 | CA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | 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
- 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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Hematology & Oncology Physician
- Orange, CA
- NPI 1801443510
-
- Rehabilitation Hospital Unit
- Laguna Hills, CA
- NPI 1114967114
-
- General Acute Care Hospital
- Hollywood, CA
- NPI 1023010113
-
- Specialist
- Reno, NV
- NPI 1285649608
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
- General Acute Care Hospital
- Orange, CA
- NPI 1558575746
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
- Jennifer Pierce, M.A.
- Seth R Pincus
- Pinnacle Pain & Regenerative Medicine Inc
- Pirate Acupuncture Inc
- Jonathan Ramin Pirnazar, MD
- Place of Peace and Recovery
- Place of Presence Psychological Services, a Professional Corporation
- Katherine Platt, D.C.
- Douglas Pleiman
- Elizabeth Katz Pluskalowski, MS OTR/L, SWC, IBCLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.
- 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.