Individual provider Active NPI

Lisa Everson, MD

  • Obstetrics & Gynecology Physician
  • San Francisco, CA
National Provider Identifier
1477630499
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A63222 Issued in CA
Practice address
1580 Valencia St
Ste 508
San Francisco, CA 94110-4423
Phone
(415) 641-2140
Fax
(415) 641-2150
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A63222 CA Primary

Addresses

Primary practice location

1580 Valencia St
Ste 508
San Francisco, CA 94110-4423

Mailing address

PO Box 60000
File 74175
San Francisco, CA 94160-0001
Phone (415) 641-2177

Other identifiers 1

IdentifierTypeStateIssuer
A63222OtherCAMEDICAL LICENSE

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
I20071022000869 CA Practitioner - Obstetrics/Gynecology 9234225202 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63222CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group, Inc CurrentSince Feb 3, 2018 Accepting new patients
UCSF Medical Group Business Services Obstetrics & Gynecology CurrentSince Dec 18, 2018 Accepting new patients
University of California San Francisco CurrentSince Dec 18, 2018 Accepting new patients
University of California San Francisco Obstetrics & Gynecology CurrentSince Dec 18, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 18, 2018 Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Feb 3, 2018 Accepting new patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients
University of California San Francisco Current Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Past Accepting new patients
University of California San Francisco Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1800 Harrison St
Fl 7
Oakland, CA 94612

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

2238 Geary Blvd
San Francisco, CA 94115
Phone (415) 833-2200

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

1500 Owens St
Ste 380
San Francisco, CA 94158
Phone (415) 353-3400

1580 Valencia St
Ste 701
San Francisco, CA 94110
Phone (415) 641-2199

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Interoperability endpoints

  • Direct secure messaging: leverson30532@direct-ucsfmedicalcenter.org
  • Direct secure messaging: leverson@yourcarecommunity.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1477630499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60000",
            "address_2": "FILE 74175",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941600001",
            "telephone_number": "415-641-2177",
            "fax_number": "415-641-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST",
            "address_2": "STE 508",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104423",
            "telephone_number": "415-641-2140",
            "fax_number": "415-641-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERSON",
        "first_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A63222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A63222",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.