Individual provider Active NPI

Luis Daniel Lifschitz, NP

  • Nurse Practitioner
  • Burlingame, CA
National Provider Identifier
1417804030
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11046014 Issued in FL
Practice address
25 Edwards CT Ste 105
Burlingame, CA 94010-2421
Phone
(650) 342-1966
Fax
(650) 685-6552
NPI assigned
Mar 12, 2026
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11046014 FL Primary
Nurse Practitioner 363L00000X 95039863 CA

Addresses

Primary practice location

25 Edwards CT Ste 105
Burlingame, CA 94010-2421

Mailing address

25 Edwards CT Ste 105
Burlingame, CA 94010-2421
Phone (650) 342-1966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95039863CAMDNurse Practitioner
11046014FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Psychiatry Nursing PC CurrentSince Jun 29, 2026 Accepting new patients

Locations

471 E Tahquitz Canyon Way
Ste 230
Palm Springs, CA 92262
Phone (650) 342-1966

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": "1773273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1417804030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 EDWARDS CT STE 105",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102421",
            "telephone_number": "650-342-1966",
            "fax_number": "650-685-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 EDWARDS CT STE 105",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102421",
            "telephone_number": "650-342-1966",
            "fax_number": "650-685-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIFSCHITZ",
        "first_name": "LUIS",
        "middle_name": "DANIEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11046014",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95039863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.