Individual provider Active NPI

Lisa Mira Spitalewitz, PA-C

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1699042960
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21716 Issued in CA
Practice address
2288 Market St
San Francisco, CA 94114-1506
Phone
(415) 964-4855
Fax
(415) 252-7176
NPI assigned
Nov 30, 2011
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21716 CA Primary

Addresses

Primary practice location

2288 Market St
San Francisco, CA 94114-1506

Mailing address

130 Sutter St FL 2
San Francisco, CA 94104-4009
Phone (415) 658-6791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Embarcadero Ctr
Suite 1900
San Francisco, CA 94111-3723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
21716CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc. CurrentSince Jan 7, 2019 Accepting new patients
One Medical Group, Inc CurrentSince Jan 7, 2019 Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1955 Broadway
Ste A
Oakland, CA 94612

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

110 Sutter St
Fl 6
San Francisco, CA 94104
Phone (415) 523-6317

130 Sutter St
Fl 2
San Francisco, CA 94104
Phone (415) 529-4522

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

2950 S Delaware St
Ste 150
San Mateo, CA 94403

1004 Northgate Dr
San Rafael, CA 94903
Phone (415) 590-6150

Organizations & group practices 3

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": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1699042960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SUTTER ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044009",
            "telephone_number": "415-658-6791",
            "fax_number": "415-520-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2288 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141506",
            "telephone_number": "415-964-4855",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITALEWITZ",
        "first_name": "LISA",
        "middle_name": "MIRA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.