Individual provider Active NPI

Lisa Woolf, M.D.

  • Dermatology Physician
  • Westlake Village, CA
National Provider Identifier
1386702090
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A69234 Issued in CA
Practice address
32144 Agoura Rd
Ste 202
Westlake Village, CA 91361-4048
Phone
(818) 991-5551
NPI assigned
Dec 5, 2006
Last updated
May 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A69234 CA Primary

Addresses

Primary practice location

32144 Agoura Rd
Ste 202
Westlake Village, CA 91361-4048

Mailing address

32144 Agoura Rd
Ste 202
Westlake Village, CA 91361-4048
Phone (818) 991-5551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090318000360 CA Practitioner - Dermatology 4183781172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Geffen School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32144 Agoura Rd
Suite 202
Westlake Village, CA 91361-4048
Phone (818) 991-5551

Merit-based Incentive Payment System (MIPS)

Final score
91.08 of 100Reported as individual
Quality
82.15
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions2296
Removal or shaving of skin growth736
Skin biopsy76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
69234CAMDPharmacist
A69234CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Woolf , M.D., a Professional Corporation Dermatology CurrentSince Jan 7, 2009 Accepting new patients

Locations

1250 La Venta Dr
Ste 213
Westlake Village, CA 91361
Phone (805) 497-2772

32144 Agoura Rd
Ste 202
Westlake Village, CA 91361
Phone (818) 991-5551

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1386702090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD",
            "address_2": "STE 202",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614048",
            "telephone_number": "818-991-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD",
            "address_2": "STE 202",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614048",
            "telephone_number": "818-991-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLF",
        "first_name": "LISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A69234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.