Lisa Skrenchuk

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

970911 Issued in CA

Practice address

751 S Bascom Ave
Oncology Department, Bq205
San Jose, CA 95128-2604

Phone

(408) 793-2670

Fax

(408) 885-3225

NPI assigned

Aug 10, 2015

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

Other names 1

• Lisa Liang Former name

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": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1346626504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282604",
            "telephone_number": "408-793-2670",
            "fax_number": "408-885-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S BASCOM AVE",
            "address_2": "ONCOLOGY DEPARTMENT, BQ205",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282604",
            "telephone_number": "408-793-2670",
            "fax_number": "408-885-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRENCHUK",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "970911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "LIANG",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Skinner
• Erica Danielle Skinner, LCSW
• Christine Leonette Skolnik, RNFA
• Sanford Skolnik, D.C.
• Vladimir G. Skorokhod, M.D.
• Carol Marie Skuletich-Vetter
• Skyline San Jose Operating Company, LP (Skyline Healthcare Center - San Jose)
• Ann Slade, SLP
• Shenee R. Slade, MD
• Christina Slaker

• Registered Dietitian in San Jose, CA
• Providers in San Jose, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.