Steven T Lis, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G87909 Issued in CA

Practice address

1770 Iowa Ave
Suite 280
Riverside, CA 92507-2430

Phone

(951) 786-0801

Fax

(951) 786-0460

NPI assigned

Jun 27, 2006

Last updated

Aug 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: slis180085@direct.llu.edu

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.

• Aggeus Healthcare, P.C.

  • Podiatrist
  • Chicago, IL
  • NPI 1033156955
  NPD (past)
• Hillcrest Radiology Associates, Inc

  • Diagnostic Radiology Physician
  • Mayfield HTS, OH
  • NPI 1720017999
  NPD (past)
• Pco PC

  dba PCO Radiology PC

  • Diagnostic Radiology Physician
  • Lowville, NY
  • NPI 1881230563
  NPD (past)
• Universal Radiology Consultants PC

  • Diagnostic Radiology Physician
  • Warner Robins, GA
  • NPI 1689606188
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1386671147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30000 SANTIAGO RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925115",
            "telephone_number": "951-695-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 IOWA AVE",
            "address_2": "SUITE 280",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072430",
            "telephone_number": "951-786-0801",
            "fax_number": "951-786-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIS",
        "first_name": "STEVEN",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G87909",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35086948",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00357635",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000500789",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2695454",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Silvia Lino, LVN
• Cole Tyler Linzmeyer, DO
• Jorge P. Lipiz, MD
• Heather Lipscomb
• Gary Alexander Lirungan
• Lisa V. Keltner, O.D., a Professional Corporation (Riverside Optometry)
• Michelle Lising
• Steven J. Lisonbee, D.C.
• Little Seeds Matter
• Chandler Little, HIGH SCHOOL DIPLOMA

• Diagnostic Radiology Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.