Active NPI
Lisa M. Ward, M.D.
- Family Medicine Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A080946
- Practice address
- 1110 N Dutton Ave
Santa Rosa, CA 95401-4606 - Phone
- (707) 303-3600
- NPI assigned
- Nov 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A080946 | CA | Primary |
Addresses
Primary practice location
1110 N Dutton Ave
Santa Rosa, CA 95401-4606
Mailing address
3569 Round Barn Cir
Suite 200
Santa Rosa, CA 95403-5781
Phone (707) 303-3600
Other practice location 1
3569 Round Barn Cir
Santa Rosa, CA 95403-5781
Phone (707) 303-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A809460 | Medicaid | CA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, San Francisco School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1381 University St
Healdsburg, CA 95448-3314
Phone (707) 433-5494
Hospital & facility affiliations
- Healdsburg Hospital
- Providence Santa Rosa Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.9 of 100
- Quality
- 81.89
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A080946 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Medical Center | Current | Accepting new patients | |
| Alliance Medical Center | Current | Accepting new patients | |
| Alliance Medical Center | Current | Accepting new patients | |
| Sutter West Bay Medical Foundation | Family Medicine | Past | Accepting new patients |
| Santa Rosa Community Healt Centers | Past | Accepting new patients |
Locations
1557 Healdsburg Ave
Ste 16
Healdsburg, CA 95448
1381 University St
Healdsburg, CA 95448
Phone (707) 431-8234
8465 Old Redwood Hwy
Ste 320
Windsor, CA 95492
Phone (707) 433-5494
Interoperability endpoints
- lward585352@direct.ochin.org
- lward604339@direct.ochin.org
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.
-
- Federally Qualified Health Center (FQHC)
- Healdsburg, CA
- NPI 1750399796
-
- Optometrist
- Healdsburg, CA
- NPI 1588497168
-
- Federally Qualified Health Center (FQHC)
- Windsor, CA
- NPI 1710218409
-
- Federally Qualified Health Center (FQHC)
- Santa Rosa, CA
- NPI 1023439759
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1104852789
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Healdsburg, CA
- NPI 1861009672
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1790768869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3569 ROUND BARN CIR",
"address_2": "SUITE 200",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954035781",
"telephone_number": "707-303-3600",
"fax_number": "707-303-3609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 N DUTTON AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014606",
"telephone_number": "707-303-3600"
}
],
"practiceLocations": [
{
"address_1": "3569 Round Barn Cir",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954035781",
"country_code": "US",
"telephone_number": "707-303-3600",
"fax_number": "707-303-3069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARD",
"first_name": "LISA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A080946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A809460",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.