Individual provider Active NPI

Lisa Hertz, MD

  • Gastroenterology Physician
  • Los Alamitos, CA
National Provider Identifier
1639237720
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G59291 Issued in CA
Practice address
4772 Katella Ave
#200
Los Alamitos, CA 90720-2600
Phone
(562) 596-5552
Fax
(562) 596-5340
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G59291 CA Primary

Addresses

Primary practice location

4772 Katella Ave
#200
Los Alamitos, CA 90720-2600

Mailing address

4772 Katella Ave
#200
Los Alamitos, CA 90720-2600
Phone (562) 596-5552

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
I20050502000315 CA Practitioner - Gastroenterology 1052350915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Harvard Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians
Comprehensive Gi Care a Professional Medical Group IncGroup PAC ID 7810942000, 3 clinicians

Practice addresses (Care Compare)

1010 W la Veta Ave
Suite 570
Orange, CA 92868-4305
Phone (714) 835-7700

3751 Katella Ave
Los Alamitos, CA 90720-3113
Phone (562) 598-1311

4772 Katella Ave
Suite 200
Los Alamitos, CA 90720-2683
Phone (562) 596-5552

9850 Genesee Ave
Suite 440
La Jolla, CA 92037-1212
Phone (858) 453-5944

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.21 of 100Reported as group
Quality
62.87
Improvement activities
40
Cost
70.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy50
Upper gastrointestinal (GI) endoscopy for acid reflux41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59291CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare Partners PC CurrentSince Oct 1, 2025 Accepting new patients
Comprehensive Gi Care, a Professional Medical Group, Inc. Gastroenterology CurrentSince Oct 1, 2003 Accepting new patients

Locations

9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944

4132 Katella Ave
Ste 200
Los Alamitos, CA 90720
Phone (562) 312-1777

4772 Katella Ave
Ste 200
Los Alamitos, CA 90720
Phone (562) 595-9366

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lisa.hertz@cgicare.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GFIEBA

Organizations & group practices 2

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1639237720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4772 KATELLA AVE",
            "address_2": "#200",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202600",
            "telephone_number": "562-596-5552",
            "fax_number": "562-596-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4772 KATELLA AVE",
            "address_2": "#200",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202600",
            "telephone_number": "562-596-5552",
            "fax_number": "562-596-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZ",
        "first_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G59291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.