Liza Hoen Reichenberger, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA19934 Issued in CA

Practice address

2900 Whipple Ave
Suite 210
Redwood City, CA 94062-2843

Phone

(650) 365-5996

Fax

(650) 365-0655

NPI assigned

Aug 17, 2006

Last updated

Aug 25, 2010By 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 2

Addresses

Other identifiers 1

Other names 1

• Ms. Elizabeth Pauline Hoen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Pain Solutions Treatment Centers

  • Interventional Pain Medicine Physician
  • Marietta, GA
  • NPI 1497858971
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1356454698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 AVILA RD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022852",
            "telephone_number": "650-454-9951",
            "fax_number": "650-350-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 WHIPPLE AVE",
            "address_2": "SUITE 210",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622843",
            "telephone_number": "650-365-5996",
            "fax_number": "650-365-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHENBERGER",
        "first_name": "LIZA",
        "middle_name": "HOEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "002934",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001887A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HOEN",
            "middle_name": "PAULINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian L Reed
• Colin B. Reed, MD
• Rebecca Grace Reeder, MS
• Estee Reeves, M.A. CCC-SLP
• Evelyn Arevalo Rehfeld, R . N.
• Charles Reighard, MD
• Debra Ann Reinking
• David Jay Reinow, O.D.
• Robert I. Reisfeld Jr., MD
• Karrie Rennick, R.N.

• Medical Physician Assistant in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.