Lisa Deng, AGPCNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95001507 Issued in CA

Practice address

1551 Bishop St Ste 310
San Luis Obispo, CA 93401-4637

Phone

(805) 242-4455

Fax

(805) 542-9589

NPI assigned

Nov 12, 2014

Last updated

May 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chris M Byrne DPM Inc

  dba San Luis Podiatry Group

  • Podiatrist
  • San Luis Obispo, CA
  • NPI 1649382052
  NPD (past)

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1750787156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 JOHNSON AVE # 322",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013306",
            "telephone_number": "805-242-4455",
            "fax_number": "805-542-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 BISHOP ST STE 310",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014637",
            "telephone_number": "805-242-4455",
            "fax_number": "805-542-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENG",
        "first_name": "LISA",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95001507",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95001507",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95001507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Delong, PMHNP
• Cheryl K Delos Reyes, FNP-C
• Jonathan Demartimprey
• Christopher Evan Demartini, D.C.
• Wesley Howard Demoss
• Hailey M Denzer
• Dermatologic Plastic Surgery Clinics of Ca
• Marianna Deromedi, PT
• Derose Marriage and Family Therapy Corporation (DeRose Therapy Group)
• Leah Lorraine Derose, MFTI

• Nurse Practitioner in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.