Organization Active NPI

Lisa E Pulver

  • Certified Registered Nurse Anesthetist
  • Santa Monica, CA
National Provider Identifier
1801953534
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA2010 Issued in CA
Legal business name
LISA E PULVER
Practice address
1301 20TH St Ste 300
Santa Monica, CA 90404-2087
Phone
(310) 796-1103
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Lisa E Pulver, CRNA
Title
Owner
Phone
(310) 796-1103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X NA2010 CA Primary

Addresses

Primary practice location

1301 20TH St Ste 300
Santa Monica, CA 90404-2087

Mailing address

665 27TH St
Manhattan Beach, CA 90266-2230
Phone (310) 796-1103

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1801953534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 27TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662230",
            "telephone_number": "310-796-1103",
            "fax_number": "310-545-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 300",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042087",
            "telephone_number": "310-796-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA E PULVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "PULVER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-796-1103",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA2010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.