NPIMap

Individual provider Active NPI

Lisa Ma, MD

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1639125487
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A70797 Issued in CA
Practice address
4857 Huntington Dr N
Los Angeles, CA 90032-1939
Phone
(323) 226-9042
Fax
(323) 226-9426
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A70797 CA Primary

Addresses

Primary practice location

4857 Huntington Dr N
Los Angeles, CA 90032-1939

Mailing address

4857 Huntington Dr N
Los Angeles, CA 90032-1939
Phone (323) 226-9042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000705 CA Practitioner - Family PracticePractitioner - Internal Medicine 4385715739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mosaic Family Care Medical Group IncGroup PAC ID 3375622376, 3 clinicians

Practice addresses (Care Compare)

4857 Huntington Dr N
Los Angeles, CA 90032-1939
Phone (323) 226-9042

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
94.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70797CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Family Care Medical Hospitalist Group Inc CurrentSince Feb 8, 2025 Accepting new patients
Clinica del Dr. Castillo Y Dr. Silva, Inc.. Family Medicine CurrentSince Dec 24, 2007 Accepting new patients
Alal, LLC PastSince Oct 1, 2001 Accepting new patients
White Memorial Medical Center Past Accepting new patients
Jse Emergency Medical Group Past Accepting new patients

Locations

4857 Huntington Dr N
Ste N
Los Angeles, CA 90032

4857 Huntington Dr N
Los Angeles, CA 90032
Phone (323) 226-9042

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16145/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lisa.ma.1@16145.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kei-Ai Los Angeles Healthcare CenterLos Angeles, CA, CCN 555438 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2001
Oct 1, 2001

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Alal, LLC

    dba Kei-Ai Los Angeles Healthcare Center

    • Skilled Nursing Facility
    • Los Angeles, CA
    • NPI 1619347465

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 6

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 6

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1639125487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4857 HUNTINGTON DR N",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321939",
            "telephone_number": "323-226-9042",
            "fax_number": "323-226-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4857 HUNTINGTON DR N",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321939",
            "telephone_number": "323-226-9042",
            "fax_number": "323-226-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A70797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.