Lisa Kohorn, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

G70187 Issued in CA

Practice address

1100 W Stewart Dr
SJH-Dept. of Pathology
Orange, CA 92868-3849

Phone

(714) 771-8176

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

74.5 of 100Reported as group

Quality

70

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Newport Harbor Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Newport Beach, CA
  • NPI 1790711927
  Medicare reassignment NPD
• Newport Harbor Pathology Medical Group Inc

  • Clinical Medical Laboratory
  • Orange, CA
  • NPI 1619423282
  NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1720097066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5856 CORPORATE AVE",
            "address_2": "SUITE 200",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304754",
            "telephone_number": "714-229-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W STEWART DR",
            "address_2": "SJH-DEPT. OF PATHOLOGY",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683849",
            "telephone_number": "714-771-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHORN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G70187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G70187",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G701870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Koeppel, DNP, CNS
• Fred Ray Kogen, M.D.
• Duane Koh
• Lindsay Ann Kohan
• Elspeth Kohler
• Bedros H Kojian, MD
• Anjani Kolahi, MD
• Anish Sai Kolan
• Douglas Bruce Kolberg
• John Raymond Kole, DC

• Anatomic Pathology & Clinical Pathology Physician in Orange, CA
• Providers in Orange, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.

Verify at the official NPI Registry.