Individual provider Active NPI

Lisa Masai, R.N., N.P.

  • Adult Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1497030241
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
21039 Issued in CA
Practice address
330 Ellis St
C/O Glide Health Services
San Francisco, CA 94102-2735
Phone
(415) 674-6140
NPI assigned
Oct 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 754518 CA
Adult Health Nurse Practitioner 363LA2200X 21039 CA Primary

Addresses

Primary practice location

330 Ellis St
C/O Glide Health Services
San Francisco, CA 94102-2735

Mailing address

330 Ellis Street
C/O Glide Health Services
San Francisco, CA 94102

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)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
754518CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1497030241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ELLIS STREET",
            "address_2": "C/O GLIDE HEALTH SERVICES",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ELLIS ST",
            "address_2": "C/O GLIDE HEALTH SERVICES",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022735",
            "telephone_number": "415-674-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASAI",
        "first_name": "LISA",
        "credential": "R.N., N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "754518",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "21039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.