Individual provider Active NPI

Lisa Gallagher, PNP-BC

  • Pediatric Nurse Practitioner
  • Palo Alto, CA
National Provider Identifier
1750630679
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN2274885 Issued in MA
Practice address
770 Welch Rd
Suite 100
Palo Alto, CA 94304-1511
Phone
(650) 498-5480
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN2274885 MA Primary

Addresses

Primary practice location

770 Welch Rd
Suite 100
Palo Alto, CA 94304-1511

Mailing address

770 Welch Rd
Suite 100
Palo Alto, CA 94304-1511
Phone (650) 498-5480

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
I20170627002510 CA Practitioner - Nurse Practitioner 0042589517 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 Parnassus Ave
McB300
San Francisco, CA 94143-0810
Phone (415) 476-1000

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22892CAMDAddiction (Substance Use Disorder) Counselor
RN2274885MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince May 2, 2017 Accepting new patients
UCSF Dept of Surgery CurrentSince May 2, 2017 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 2, 2017 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince May 2, 2017 Accepting new patients
UCSF Pediatrics Associates CurrentSince May 2, 2017 Accepting new patients
University of California San Francisco CurrentSince May 2, 2017 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Lucile Salter Packard Children'S Hospital at Stanford Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

3333 California St
Ste 110
San Francisco, CA 94118

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1825 4th St
#M3262A
San Francisco, CA 94143
Phone (415) 353-1154

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

Organizations & group practices 10

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": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1750630679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 WELCH RD",
            "address_2": "SUITE 100",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041511",
            "telephone_number": "650-498-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 WELCH RD",
            "address_2": "SUITE 100",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041511",
            "telephone_number": "650-498-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "LISA",
        "credential": "PNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2274885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.