Individual provider Active NPI

Liesl Close, MD

  • Neurological Surgery Physician
  • Oakland, CA
National Provider Identifier
1578827499
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A174945 Issued in CA
Practice address
1411 E 31St St
Oakland, CA 94602-1092
Phone
(415) 353-7500
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R73227 AZ
General Acute Care Hospital 282N00000X R-9872 IA
Neurological Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207T00000X A174945 CA Primary

Addresses

Primary practice location

1411 E 31St St
Oakland, CA 94602-1092

Mailing address

505 Parnassus Ave RM M779
San Francisco, CA 94143-2204
Phone (415) 353-7500

Other practice location 1

1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (628) 208-8000

Other identifiers 1

IdentifierTypeStateIssuer
A174945OtherCAMEDICAL 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
I20211025002917 CA Practitioner - Neurosurgery 2769626787 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Oregon Health Sciences University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

13855 E 14TH St
San Leandro, CA 94578-2611
Phone (510) 357-6500

1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800

2070 Clinton Ave
Alameda, CA 94501-4399
Phone (510) 522-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A174945CAMDNeurological Surgery Physician
R73227AZMDSurgery Physician
R-9872IAMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System Single Specialty CurrentSince Oct 25, 2021 Accepting new patients
University of California SFGH Medical Group Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
University of California San Francisco CurrentSince Oct 14, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 14, 2021 Accepting new patients
University of California San Francisco Single Specialty Current Accepting new patients
University of California SFGH Medical Group Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
UCSF Medical Group Business Services Single Specialty CurrentSince Oct 14, 2021 Accepting new patients
University of California San Francisco Single Specialty CurrentSince Oct 14, 2021 Accepting new patients
Alameda Health System Single Specialty CurrentSince Oct 25, 2021 Accepting new patients
University of California San Francisco Medical Center General Acute Care Hospital PastSince Oct 17, 2021 Accepting new patients

Locations

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

7677 Oakport St
Ste 1200
Oakland, CA 94621
Phone (510) 618-5768

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

505 Parnassus Ave
Rm M779
San Francisco, CA 94143
Phone (415) 353-3904

1001 Potrero Ave
Rm 4M
San Francisco, CA 94110
Phone (628) 206-4420

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

505 Parnassus Ave
Ste M779
San Francisco, CA 94143
Phone (415) 514-4893

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

Interoperability endpoints

  • Direct secure messaging: lclose82341@alamedahs.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1578827499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE RM M779",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-353-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 E 31ST ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021092",
            "telephone_number": "415-353-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "628-208-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOSE",
        "first_name": "LIESL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "R73227",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IA",
            "license": "R-9872",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A174945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A174945",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.