Active NPI
Lisa Ruth Garber, PH.D.
- Social Worker
- Los Angeles, CA
National Provider Identifier
1265452726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LX12653
- Practice address
- 566 S San Vicente Blvd
Suite 103
Los Angeles, CA 90048-4650 - Phone
- (323) 655-6794
- NPI assigned
- Jul 20, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LX12653 | CA | Primary |
Addresses
Primary practice location
566 S San Vicente Blvd
Suite 103
Los Angeles, CA 90048-4650
Mailing address
566 S San Vicente Blvd
Suite 103
Los Angeles, CA 90048-4650
Phone (323) 655-6794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 14, 2021 through Apr 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LX12653 | CA | MD | Social Worker |
| 12653 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265452726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 S SAN VICENTE BLVD",
"address_2": "SUITE 103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484650",
"telephone_number": "323-655-6794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 S SAN VICENTE BLVD",
"address_2": "SUITE 103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484650",
"telephone_number": "323-655-6794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARBER",
"first_name": "LISA",
"middle_name": "RUTH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LX12653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.