Lisa Raylene Fillis, ND

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ND11 Issued in CA

Practice address

4301 Atlantic Ave Ste 5
Long Beach, CA 90807-2833

Phone

(562) 533-1909

Fax

(323) 372-3836

NPI assigned

Mar 8, 2007

Last updated

Aug 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1346371721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 ATLANTIC AVE STE 5",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072833",
            "telephone_number": "562-533-1909",
            "fax_number": "323-372-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 ATLANTIC AVE STE 5",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072833",
            "telephone_number": "562-533-1909",
            "fax_number": "323-372-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLIS",
        "first_name": "LISA",
        "middle_name": "RAYLENE",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "ND11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Fike
• Brenna Filazzola
• Heather Filbey-McCabe
• Daryll De la Cruz Filio
• Jansen Chastenet Filio
• Ronald D Fillmore, CRNFA
• Matamulisesula Filoialii
• James Winsby Filtz
• Find Flourishing Individual and Family Therapy Inc.
• Emily Fine, PHYSICAL THERAPY ASS

• General Practice Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.