Individual provider Active NPI

Lamis Mohamad Kobeissi-Safah, PA-C

  • Physician Assistant
  • Livonia, MI
National Provider Identifier
1578716668
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005360 Issued in MI
Practice address
33215 7 Mile Rd
Livonia, MI 48152-1365
Phone
(248) 478-3200
Fax
(248) 478-3316
NPI assigned
Nov 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601005360 MI Primary

Addresses

Primary practice location

33215 7 Mile Rd
Livonia, MI 48152-1365

Mailing address

33215 7 Mile Rd
Livonia, MI 48152-1365
Phone (248) 478-3200

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

LicenseStateTypeSpecialty
5601005360MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brentwood Pediatrics PC Past Accepting new patients

Organizations & group practices 1

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": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1578716668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33215 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521365",
            "telephone_number": "248-478-3200",
            "fax_number": "248-478-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33215 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521365",
            "telephone_number": "248-478-3200",
            "fax_number": "248-478-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBEISSI-SAFAH",
        "first_name": "LAMIS",
        "middle_name": "MOHAMAD",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.