Individual provider Active NPI

Lisa Faye Fronek, DO

  • MOHS-Micrographic Surgery Physician
  • Upland, CA
National Provider Identifier
1760970891
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
20A19476 Issued in CA
Practice address
859 E Foothill Blvd Ste B
Upland, CA 91786-4085
Phone
(909) 981-8929
Fax
(909) 946-9740
NPI assigned
Apr 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 20A19476 CA
MOHS-Micrographic Surgery Physician 207ND0101X 20A19476 CA Primary

Addresses

Primary practice location

859 E Foothill Blvd Ste B
Upland, CA 91786-4085

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Lisa.Fronek@ffdwest.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230616001045 CA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 8527426931 Reassigns benefits to 2 organizations
I20260326002666 MN Practitioner - Dermatology 8527426931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
College of Osteo Med of the Pacific at Pomona, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennifer Channual MD IncGroup PAC ID 8628333978, 8 clinicians
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

23521 Paseo de Valencia
Suite 102
Laguna Hills, CA 92653-3126
Phone (949) 520-1815

500 S Maple St
Waconia, MN 55387-1752
Phone (952) 442-2191

560 S Maple St
Waconia, MN 55387-1757

7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision39
Removal of skin lesions161
Removal of skin cancer270
Removal or shaving of skin growth1-10
Skin biopsy104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
19476CAMDAcupuncturist
20A19476CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Channual MD Inc Dermatology CurrentSince May 23, 2025 Accepting new patients
Skinphysicians & Surgeons Medical Group, Inc. Dermatology CurrentSince Jun 6, 2023 Accepting new patients
Forefront Dermatology - Pacific, P.C. Dermatology Current Accepting new patients
Ridgeview Medical Center Past Accepting new patients

Locations

8401 Pine Ave
Ste 120
Chino, CA 91708
Phone (909) 789-0937

23521 Paseo de Valencia
Ste 102
Laguna Hills, CA 92653
Phone (949) 520-1815

859 E Foothill Blvd
Ste B
Upland, CA 91786
Phone (909) 981-8929

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: lisa.fronek@ffdwest.emadirect.md
  • Direct secure messaging: lisa.fronek@hca4.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1760970891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 E FOOTHILL BLVD STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864085",
            "telephone_number": "909-981-8929",
            "fax_number": "909-946-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONEK",
        "first_name": "LISA",
        "middle_name": "FAYE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A19476",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "20A19476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lisa.Fronek@ffdwest.emadirect.md",
            "affiliation": "N",
            "address_1": "859 E Foothill Blvd Ste B",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917864085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.