Active NPI
Lisa M. Eilerman, P.A.
- Physician Assistant
- National City, CA
National Provider Identifier
1801904362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17355
- Practice address
- 444 W 8TH St
National City, CA 91950-1002 - Phone
- (619) 474-8666
- Fax
- (619) 474-0325
- NPI assigned
- Aug 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 17355 | CA | |
| Physician Assistant | 363A00000X | PA17355 | CA | Primary |
Addresses
Primary practice location
444 W 8TH St
National City, CA 91950-1002
Mailing address
2950 Buskirk Ave Ste 300
Walnut Creek, CA 94597-6900
Phone (888) 380-0988
Other practice location 1
10251 Vista Sorrento Pkwy Ste 280
San Diego, CA 92121-3776
Phone (888) 380-0988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17355 | CA | MD | Physician Assistant |
| PA17355 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Physician Assistant | Past | Accepting new patients |
| Agile Occupational Medicine, PC | Past | Accepting new patients |
Interoperability endpoints
- lisa.eilerman@3856.securemail.prognocis.com
Organizations & group practices 2
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.
-
- Occupational Medicine Clinic/Center
- National City, CA
- NPI 1174406169
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1801904362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 BUSKIRK AVE STE 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945976900",
"telephone_number": "888-380-0988",
"fax_number": "289-236-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 W 8TH ST",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919501002",
"telephone_number": "619-474-8666",
"fax_number": "619-474-0325"
}
],
"practiceLocations": [
{
"address_1": "10251 Vista Sorrento Pkwy Ste 280",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921213776",
"country_code": "US",
"telephone_number": "888-380-0988",
"fax_number": "289-236-3022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EILERMAN",
"first_name": "LISA",
"middle_name": "M.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-26",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "17355",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA17355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.