Lisa Maria Beffa, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A111296 Issued in CA

Practice address

4550 Kearny Villa Rd Ste 116
San Diego, CA 92123-1583

Phone

(858) 279-1223

Fax

(619) 516-4757

NPI assigned

Jul 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Maria Hendricks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1356531032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 KEARNY VILLA RD STE 116",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231583",
            "telephone_number": "858-279-1223",
            "fax_number": "619-516-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 KEARNY VILLA RD STE 116",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231583",
            "telephone_number": "858-279-1223",
            "fax_number": "619-516-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEFFA",
        "first_name": "LISA",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A111296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HENDRICKS",
            "middle_name": "MARIA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine Clarisse Beery, LMFT
• Angela Beeson, APCC
• Charles C. Beeson, MD
• Laura Beeson, R.N.
• Stephen Charles Beeson, M.D.
• Before the Sun Health Services LLC
• Arisa Saychelle Bega
• Ja'Bri Jele Roshe Begay
• Amber Begell
• Brian Begerow

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.