Lisa B Lipton, PA
Individual provider Active NPI Physician Assistant · Sacramento, CA
NPI 1689779159 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689779159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA17369 (CA)
- Practice address
- 5301 F St
#220
Sacramento, CA 95819-3226 - Phone
- (916) 455-8000
- Fax
- (916) 733-6088
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA17369 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Past | Accepting new patients | |
| Sutter Valley Medical Foundation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17369 | CA | Yes |
Addresses
Primary practice location
5301 F St
#220
Sacramento, CA 95819-3226
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA17369 | Medicaid | CA |
Other providers in Sacramento, CA
- Jacob R Lipovac
- Tracy Lynne Lippert
- Randall Brian Lippins
- Mark H. Lipson
- Scott R. Lipson
- Lesly Lira
- Sophia Lira
- Roy Kimberly De Leon Lirio
- Alexandra Breann Liscano
- Alexandra Lischer
All providers in Sacramento, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.