Active NPI
Lisa C Stockford, DO
- Family Medicine Physician
- Chino Hills, CA
National Provider Identifier
1710986328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A79250
- Practice address
- 15944 Los Serranos Country Club Dr Ste 110
Chino Hills, CA 91709-3254 - Phone
- (909) 219-9804
- Fax
- (909) 219-9806
- NPI assigned
- Jul 15, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A79250 | CA | Primary |
Addresses
Primary practice location
15944 Los Serranos Country Club Dr Ste 110
Chino Hills, CA 91709-3254
Mailing address
15944 Los Serranos Country Club Dr Ste 110
Chino Hills, CA 91709-3254
Phone (909) 219-9804
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020A79250 | Other | CA | BLUE SHIELD |
| 00AX79250 | Medicaid | CA | |
| P00092811 | Other | CA | RAIL ROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- College of Osteo Med of the Pacific at Pomona, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5450 Jefferson Ave
Suite 1
Chino, CA 91710-3522
Phone (909) 219-9804
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A79250 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiffany Anderson Terrell, DO. Inc | Past | Accepting new patients | |
| Primecare Medical Group | Past | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JEFABD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Chino, CA
- NPI 1174179113
-
- Family Nurse Practitioner
- Chino Hills, CA
- NPI 1093186892
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.
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- Clinic/Center
- Chino, CA
- NPI 1053638601
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1093720427
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1407813660
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710986328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15944 LOS SERRANOS COUNTRY CLUB DR STE 110",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917093254",
"telephone_number": "909-219-9804",
"fax_number": "909-219-9806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15944 LOS SERRANOS COUNTRY CLUB DR STE 110",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917093254",
"telephone_number": "909-219-9804",
"fax_number": "909-219-9806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKFORD",
"first_name": "LISA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2026-07-13",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A79250",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "020A79250",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX79250",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00092811",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chino Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.