Individual provider Active NPI

Lisa Stebbins

  • Nurse Practitioner
  • Lakewood, CA
National Provider Identifier
1619368990
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95001801 Issued in CA
Practice address
3700 South St
Lakewood, CA 90712-1419
Phone
(562) 531-2550
NPI assigned
Feb 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95001801 CA
Nurse Practitioner 363L00000X 95001801 CA Primary

Addresses

Primary practice location

3700 South St
Lakewood, CA 90712-1419

Mailing address

4 Via Olorosa
Rancho Santa Margarita, CA 92688-1436
Phone (949) 293-1467

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150421002177 CA Practitioner - Nurse Practitioner 1850619917 Reassigns benefits to 4 organizations
Practice locations: Fountain Valley, CA; Silverado, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95001801CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Emergency Medical Group, Inc. CurrentSince May 5, 2018 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Jun 30, 2022 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Jun 30, 2022 Accepting new patients
Dispatchhealth-Ca, PC CurrentSince Dec 13, 2021 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 30, 2026 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 30, 2026 Accepting new patients
Trojan Medical Center Current Accepting new patients
Professional Portable Radiologic Services Inc. Past Accepting new patients

Locations

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

140 Centennial Way
Tustin, CA 92780
Phone (706) 315-2523

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Organizations & group practices 9

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": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619368990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 VIA OLOROSA",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926881436",
            "telephone_number": "949-293-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SOUTH ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121419",
            "telephone_number": "562-531-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEBBINS",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001801",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95001801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3700 South St",
            "city": "Lakewood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907121419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.