Robert James Lis, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

20A6953 Issued in CA

Practice address

35800 Bob Hope Dr
100
Rancho Mirage, CA 92270-1739

Phone

(562) 407-2080

Fax

(562) 407-2082

NPI assigned

Nov 8, 2006

Last updated

Feb 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Robert J. Lis D.O. Inc.

  • Anesthesiology Physician
  • Rancho Mirage, CA
  • NPI 1043528003
  Authorized official Same address or phone

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1780754713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847969",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900847969",
            "telephone_number": "626-795-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35800 BOB HOPE DR",
            "address_2": "100",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701739",
            "telephone_number": "562-407-2080",
            "fax_number": "562-407-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIS",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A6953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Ryuyuan Lin, M.D.
• Linda Robertson, Marriage & Family Therapist, Inc.
• Levena Elise Linderholm, PMHNP
• Elisa M Lindley, MD
• Angela A. Lipschutz, APNP
• Live Well Ipa
• Iliana Marie Liwanag, PHARMD
• Peter A Ljungbergh, DDS
• Janine Greeno Loescher, RD, CDCES
• Daniel Logsdon, MD

• Anesthesiology Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.