Lisa Humphreys MD MPH, Physician, Inc

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

LISA HUMPHREYS MD MPH, PHYSICIAN, INC

Practice address

1300 W 7TH Street
San Pedro, CA 90732

Phone

(310) 779-7156

NPI assigned

Jun 26, 2023

Last updated

Oct 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Marie Humphreys, MDNPI 1487611687

Title

President

Phone

(310) 779-7156

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Marie Humphreys, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Pedro, CA
  • NPI 1487611687
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1811673791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237, 1536 W. 25TH ST.",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "90732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W 7TH STREET",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "90732",
            "telephone_number": "310-779-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA HUMPHREYS MD MPH, PHYSICIAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-779-7156",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Lind Jr.
• Lindholm Therapy Services Inc
• Linda Ann Lindholm, RPT
• Gage Zachary Lindsay, CADC I
• Nicol Lippman, M.D.
• Erin Marie Lisko, PA-C
• Little Company of Mary - San Pedro (Little Company of Mary Pavilion San - Pedro)
• Little Sisters of the Poor
• Michelle Litton, M.S., CCC-SLP
• Jennifer Lynn Lively

• Hospice and Palliative Medicine (Internal Medicine) Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.