NPIMap

Individual provider Active NPI

Lisa Michele Arcilla, MD

  • Pediatric Cardiology Physician
  • Walnut Creek, CA
National Provider Identifier
1649430364
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
A112061 Issued in CA
Practice address
106 La Casa Via Ste 100
Walnut Creek, CA 94598-3084
Phone
(925) 239-2900
NPI assigned
Jun 16, 2008
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A112061 CA
Pediatric Cardiology Physician 2080P0202X A112061 CA Primary

Addresses

Primary practice location

106 La Casa Via Ste 100
Walnut Creek, CA 94598-3084

Mailing address

106 La Casa Via Ste 100
Walnut Creek, CA 94598-3084
Phone (925) 239-2900

Other practice location 1

14445 Olive View Drive
Sylmar, CA 91342
Phone (818) 364-3233

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
I20120109000495 CA Practitioner - Pediatric MedicinePractitioner - Other (Physician) 4880860154 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Minnesota Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LPCH Medical Group Div of LucileGroup PAC ID 0840298543, 332 clinicians

Practice addresses (Care Compare)

725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 498-7200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112061CAMDProsthodontist
A112061CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Pediatrics CurrentSince Mar 15, 2016 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Mar 15, 2016 Accepting new patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince Jun 1, 2015 Accepting new patients
University of California San Francisco CurrentSince Mar 15, 2016 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
Children's Hospital & Research Center at Oakland Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Washington Township Hospital District Past Accepting new patients
John Muir Health Past Accepting new patients
Alameda Health System Past Accepting new patients
John Muir Health Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

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

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-3131

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Interoperability endpoints

  • Direct secure messaging: larcilla73875@alamedahs.direct-ci.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1649430364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LA CASA VIA STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983084",
            "telephone_number": "925-239-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LA CASA VIA STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983084",
            "telephone_number": "925-239-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14445 Olive View Drive",
            "address_purpose": "LOCATION",
            "city": "Sylmar",
            "state": "CA",
            "postal_code": "91342",
            "country_code": "US",
            "telephone_number": "818-364-3233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCILLA",
        "first_name": "LISA",
        "middle_name": "MICHELE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A112061",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A112061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.