Active NPI
Lisa Walpert, F.N.P.
- Pediatric Nurse Practitioner
- Lake Forest, CA
National Provider Identifier
1558547547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 382713
- Practice address
- 23321 El Toro Rd
Suites F&G
Lake Forest, CA 92630-4825 - Phone
- (949) 858-1100
- NPI assigned
- Jan 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 382713 | CA | Primary |
Addresses
Primary practice location
23321 El Toro Rd
Suites F&G
Lake Forest, CA 92630-4825
Mailing address
23321 El Toro Rd
Suites F&G
Lake Forest, CA 92630-4825
Phone (949) 858-1100
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 382713 | CA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200873600000",
"number": "1558547547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23321 EL TORO RD",
"address_2": "SUITES F&G",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926304825",
"telephone_number": "949-858-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23321 EL TORO RD",
"address_2": "SUITES F&G",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926304825",
"telephone_number": "949-858-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALPERT",
"first_name": "LISA",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-21",
"last_updated": "2008-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "382713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.