Active NPI
Lisa Seng
- Nurse Practitioner
- San Leandro, CA
National Provider Identifier
1326686007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95013709
- Practice address
- 1850 Fairway Dr
San Leandro, CA 94577-5629 - Phone
- (510) 746-0500
- NPI assigned
- Dec 13, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95013709 | CA | Primary |
Addresses
Primary practice location
1850 Fairway Dr
San Leandro, CA 94577-5629
Mailing address
1850 Fairway Dr
San Leandro, CA 94577-5629
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240604002889 | CA | Order and Referring Only - Nurse Practitioner | 0143762229 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1326686007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 FAIRWAY DR",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945775629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 FAIRWAY DR",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945775629",
"telephone_number": "510-746-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENG",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-13",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95013709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
- Seneca Family of Agencies (James Baldwin Academy)
- Seneca Family of Agencies
- Seneca Family of Agencies (Hillside Elementary School)
- Seneca Family of Agencies (Seneca ESTRTP San Leandro)
- Seneca Residential & Day Treatment Ctr.
- Soriya Seng
- Senior Pro Services LLC
- Senior Services of Alameda County LLC (Senior Helpers of Alameda County)
- Eduardo Sepulveda Herrera
- Susan Dusenbury Sequeira, N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.