Lisa Tanimune, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA18728 Issued in CA

Practice address

500 Parnassus Ave
Mu West, Mu-405, Box 0118
San Francisco, CA 94143-2203

Phone

(415) 353-1606

Fax

(415) 353-1312

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ltanimune27842@direct-ucsfmedicalcenter.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• UCSF Medical Group Business Services

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1477624104
  NPD
• University of California San Francisco

  • Surgery Physician
  • San Francisco, CA
  • NPI 1346329380
  NPD
• University of California San Francisco

  • Community/Retail Pharmacy
  • San Francisco, CA
  • NPI 1659141711
  NPD
• University of California San Francisco Medical Center

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1144325440
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1467527481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PARNASSUS AVE",
            "address_2": "MU WEST, MU-405, BOX 0118",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432203",
            "telephone_number": "415-353-1606",
            "fax_number": "415-353-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PARNASSUS AVE",
            "address_2": "MU WEST, MU-405, BOX 0118",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432203",
            "telephone_number": "415-353-1606",
            "fax_number": "415-353-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIMUNE",
        "first_name": "LISA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1127",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA18728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Roselle Valdez Tanguilig, PHARMD
• William Joseph Tanguy
• Tania Shertock, Psychologist, a Professional Corporation
• Carol S. Taniguchi, NP
• Nicole Taniguchi
• Lorrie M Tanioka
• Jenny Claire Tanis, M.A.
• Yuval Tankel
• Randi L Tanksley
• Melissa Ann Tannenbaum, M.S.

• Surgical Physician Assistant in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.