Lisa Gleason, MD Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

LISA GLEASON, MD INC.

Practice address

691 Morro Ave
Morro Bay, CA 93442-2233

Phone

(805) 225-5188

Fax

(844) 971-7070

NPI assigned

Apr 29, 2016

Organization subpart

No

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

Authorized official

Name

Lisa M Gleason, MD

Title

Physician/Owner

Phone

(805) 225-5188

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1285089029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 MORRO AVE",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422233",
            "telephone_number": "805-225-5188",
            "fax_number": "844-971-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 MORRO AVE",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422233",
            "telephone_number": "805-225-5188",
            "fax_number": "844-971-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA GLEASON, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "805-225-5188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A108043",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB255979",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary J Lepard
• Robin Lewis, PH.D.
• Therese Lewis
• Deborah Licata, PT
• Margaret Braver Lindt, MFT
• Kathleen Lockyer, OTR/L
• Heather Nicole Lukusa, DNP
• Lillian Macari, LAADC, RAS, FAC
• Eric L Maher, D.O.
• Mark a Ward MD Inc

• Physical Medicine & Rehabilitation Physician in Morro Bay, CA
• Providers in Morro Bay, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.