Active NPI
Lisa Shizuko Handa, RDHAP
- Dental Hygienist
- San Mateo, CA
National Provider Identifier
1386808277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- HAP 116
- Practice address
- 3555 So El Camino Real
420
San Mateo, CA 94403-3415 - Phone
- (650) 570-3042
- NPI assigned
- Jul 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | HAP 116 | CA | Primary |
Addresses
Primary practice location
3555 So El Camino Real
420
San Mateo, CA 94403-3415
Mailing address
3555 So El Camino Real
420
San Mateo, CA 94403-3415
Phone (650) 570-3042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HAP 116 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1386808277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3555 SO EL CAMINO REAL",
"address_2": "420",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944033415",
"telephone_number": "650-570-3042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 SO EL CAMINO REAL",
"address_2": "420",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944033415",
"telephone_number": "650-570-3042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDA",
"first_name": "LISA",
"middle_name": "SHIZUKO",
"name_prefix": "Ms.",
"credential": "RDHAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "HAP 116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.