Lily Adelzadeh, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A159038 Issued in CA

Practice address

5575 W Las Positas Blvd Ste 230
Pleasanton, CA 94588-5802

Phone

(925) 416-1122

NPI assigned

Apr 17, 2014

Last updated

Nov 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Dermatology

Education

University of California, Geffen School of Medicine, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283

Procedures performed for Medicare patients

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299

  Dermatology

  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510

  Dermatology

  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Advanced Dermatology Care, Inc.

  dba DBA: California Dermatology Care

  • Plastic and Reconstructive Surgery Physician
  • San Ramon, CA
  • NPI 1043536543

  Dermatology

  NPD (past)
• Bay Area Foot and Ankle Specialists, Inc

  • Foot & Ankle Surgery Podiatrist
  • Livermore, CA
  • NPI 1720385214
  NPD (past)
• Jill E. Stocker, D.O. PC

  • Family Medicine Physician
  • Yuba City, CA
  • NPI 1043408693
  NPD (past)
• University Dermatopathology Services Inc

  • Dermatopathology (Pathology) Physician
  • Burbank, CA
  • NPI 1376062141
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Stanford Health Care Tri-Valley

  • General Acute Care Hospital
  • Pleasanton, CA
  • NPI 1144389941
  Care Compare affiliation

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1265852180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 CLAY ST",
            "address_2": "SUITE 380",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151931",
            "telephone_number": "415-600-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 W LAS POSITAS BLVD STE 230",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885802",
            "telephone_number": "925-416-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2262 Camino Ramon Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945831353",
            "country_code": "US",
            "telephone_number": "925-328-0255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "48 Fenton St",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "CA",
            "postal_code": "945504144",
            "country_code": "US",
            "telephone_number": "925-359-6255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADELZADEH",
        "first_name": "LILY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A159038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.lily@caldermcare.com",
            "affiliation": "N",
            "address_1": "2262 Camino Ramon Ste 200",
            "city": "San Ramon",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945831353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharmila Acharya, PT
• Kiana Kelsy Portugues Acosta
• Nicole Acosta, LMFT
• Aldrin Abad Adamos, DDS
• Christen Michelle Adams, RD
• Jennifer Ann Adey, MD
• Edna Catherina Adler, LCSW
• Marzieh Marcie Adlparvar, PHARMD
• Advanced Hearing Systems
• Advanced Imaging of Tracy LLC

• Dermatology Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.