Active NPI
Lisa M Dwelle, MD
- Family Medicine Physician
- Monterey, CA
National Provider Identifier
1821021296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A77234
- Practice address
- 1900 Garden Road #100
Monterey, CA 93940 - Phone
- (831) 375-4945
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | A77234 | CA | Primary |
Addresses
Primary practice location
1900 Garden Road #100
Monterey, CA 93940
Mailing address
1900 Garden Road #100
Monterey, CA 93940
Phone (831) 375-4945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A772341 | Other | CA | MEDICARE |
Other names 1
- Lisa Annette Mills
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A77234 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430092800000",
"number": "1821021296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 GARDEN ROAD #100",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93940",
"telephone_number": "831-375-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 GARDEN ROAD #100",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93940",
"telephone_number": "831-375-4945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWELLE",
"first_name": "LISA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2015-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A77234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "00A772341",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "MILLS",
"middle_name": "ANNETTE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.