Individual provider Active NPI

Lisa R Ponsford, DNP

  • Family Nurse Practitioner
  • Huntington Beach, CA
National Provider Identifier
1720004088
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12340 Issued in CA
Practice address
19582 Beach Blvd Ste 180
Huntington Beach, CA 92648-5978
Phone
(714) 477-8050
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 506021 CA
Family Nurse Practitioner 363LF0000X 12340 CA Primary
Nurse Practitioner 363L00000X 12340 CA

Addresses

Primary practice location

19582 Beach Blvd Ste 180
Huntington Beach, CA 92648-5978

Mailing address

19582 Beach Blvd Ste 180
Huntington Beach, CA 92648-5978
Phone (714) 477-8050

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040917000851 CA Practitioner - Nurse Practitioner 0840268868 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Family Medicine IncGroup PAC ID 4587678065, 35 clinicians
Memorialcare Medical FoundationGroup PAC ID 8729277314, 555 clinicians

Practice addresses (Care Compare)

4950 Barranca Pkwy
Suite 103
Irvine, CA 92604-4630
Phone (949) 552-2700

4950 Barranca Pkwy
Suite 104
Irvine, CA 92604-8644
Phone (949) 857-1248

660 Baker St
Costa Mesa, CA 92626-4407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12340CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jan 1, 2014 Accepting new patients
Memorialcare Medical Foundation Nurse Practitioner CurrentSince Dec 12, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jan 1, 2014 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients

Locations

660 Baker St
Ste A102
Costa Mesa, CA 92626
Phone (714) 668-2505

660 Baker St
Ste A101
Costa Mesa, CA 92626
Phone (714) 668-2500

4950 Barranca Pkwy
Ste 104
Irvine, CA 92604
Phone (949) 857-1248

4950 Barranca Pkwy
Ste 103
Irvine, CA 92604
Phone (949) 552-2700

11234 Anderson St
Ste 1405
Loma Linda, CA 92350
Phone (909) 558-4252

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

3828 Schaufele Ave
Ste 200
Long Beach, CA 90808
Phone (657) 241-8990

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

250 E Caroline St
Ste J
San Bernardino, CA 92408
Phone (909) 651-1900

Interoperability endpoints

  • Direct secure messaging: lisa.ponsfordnp.p7@direct.nautilus.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1720004088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19582 BEACH BLVD STE 180",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485978",
            "telephone_number": "714-477-8050",
            "fax_number": "714-477-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19582 BEACH BLVD STE 180",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485978",
            "telephone_number": "714-477-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONSFORD",
        "first_name": "LISA",
        "middle_name": "R",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "506021",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "12340",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "12340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.