Lisa Marutani, NP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

16761 Issued in CA

Practice address

21 Tamal Vista
100
Corte Madera, CA 94949

Phone

(415) 927-0101

NPI assigned

Aug 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

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.

• California Pacific Medical Group, Inc.

  dba Brown & Toland Medical Group

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1275002453
  NPD (past)
• Ruth Rubin, MD, MPH, a Professional Corporation

  • Internal Medicine Physician
  • San Rafael, CA
  • NPI 1275997660
  NPD (past)

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1770776957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 PALMETTO AVE",
            "address_2": "115",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "94044",
            "telephone_number": "415-505-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TAMAL VISTA",
            "address_2": "100",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "94949",
            "telephone_number": "415-927-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUTANI",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "16761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marin Advanced Dental Care
• Marin Gastroenterology
• Claudiu Marin, D.M.D.
• Mark J. Schiller, M.D., Professional Corporation (Mind Therapy Clinic)
• Paul Anthony Marra, LMFT
• Mary Manning RDN PC
• William J McAllister Jr., M.D.
• Paul H McClain, PT
• Mary Beth McClure, MFT
• Megan McConnell, PH.D.

• Registered Nurse in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.