Lisa Marie Cano, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA17961 Issued in CA

Practice address

1301 20TH St
Santa Monica, CA 90404-2080

Phone

(310) 828-7757

NPI assigned

Jun 18, 2006

Last updated

Jan 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hyun Bae, M.D. a Professional Corp

  • Orthopaedic Surgery of the Spine Physician
  • Santa Monica, CA
  • NPI 1811916943
  Medicare reassignment

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1619912276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 PIER AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055539",
            "telephone_number": "310-314-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042080",
            "telephone_number": "310-828-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANO",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA17961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Albert Candioty, MD
• Jennifer Canfield, L.AC., DIPL OM, MS,
• Gianna L Cangemi
• Ceylan Zeynep Cankurtaran, MD
• Audrey Joan Realeza Cano, FNP-BC
• Annika Canta, MS, CCC-SLP
• Cantaloupe Holdings, LLC (Beachwood Post-Acute & Rehab)
• Betsy Carol Cantor, LMFT
• Linh Jenny Thi Yen Cao
• Jill T Caratan, PAC

• Surgical Physician Assistant in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.