NPIMap

Individual provider Active NPI

Lisa Jennifer Lee Hwong, M.D.

  • Diagnostic Radiology Physician
  • Mountain View, CA
National Provider Identifier
1437170024
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G84844 Issued in CA
Practice address
1580 W El Camino Real Ste 101
Mountain View, CA 94040-2458
Phone
(650) 964-1505
NPI assigned
Jul 21, 2006
Last updated
Nov 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G84844 CA Primary

Addresses

Primary practice location

1580 W El Camino Real Ste 101
Mountain View, CA 94040-2458

Mailing address

1580 W El Camino Real Ste 101
Mountain View, CA 94040-2458
Phone (650) 964-1505

Other identifiers 1

IdentifierTypeStateIssuer
00G848440MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070112000270 CA Practitioner - Diagnostic Radiology 4981604097 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Boston University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Radiology Group PCGroup PAC ID 3779683537, 90 clinicians
Silicon Valley Diagnostic Imaging IncGroup PAC ID 5496838518, 78 clinicians
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

200 Jose Figueres Ave
Suite 170
San Jose, CA 95116-1586
Phone (650) 964-1505

2361 Bryant St
Palo Alto, CA 94301-4103
Phone (412) 230-8200

625 Lincoln Ave
San Jose, CA 95126-3785
Phone (408) 871-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
80.12
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G84844CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC CurrentSince Jul 10, 2023 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Sep 8, 2024 Accepting new patients
Yp Group, Inc CurrentSince Jul 26, 2017 Accepting new patients
Foundation Radiology Group PC Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
W. D. McCallum, M.D., Inc. Past Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients
California Advanced Imaging Medical Associates Inc Diagnostic Radiology PastSince Nov 16, 2021 Accepting new patients

Locations

1895 Mowry Ave
Ste 118B
Fremont, CA 94538
Phone (510) 770-1300

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

1580 W El Camino Real
Ste 1
Mountain View, CA 94040
Phone (650) 938-6066

1580 W El Camino Real
Ste 101
Mountain View, CA 94040
Phone (415) 699-2691

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

200 Jose Figueres Ave
Ste 170
San Jose, CA 95116
Phone (408) 258-5083

2365 Quimby Rd
Ste 100
San Jose, CA 95122
Phone (650) 964-1505

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

2600 Central Ave
Ste A
Union City, CA 94587
Phone (650) 964-1505

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1437170024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 W EL CAMINO REAL STE 101",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402458",
            "telephone_number": "650-964-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 W EL CAMINO REAL STE 101",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402458",
            "telephone_number": "650-964-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWONG",
        "first_name": "LISA",
        "middle_name": "JENNIFER LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G84844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G848440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.