Individual provider Active NPI

Lisa Guan, OD

  • Optometrist
  • Valencia, CA
National Provider Identifier
1831403476
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14022 Issued in CA
Practice address
27420 Tourney Rd
Ste 100
Valencia, CA 91355-5601
Phone
(661) 259-3937
NPI assigned
Aug 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14022 CA Primary

Addresses

Primary practice location

27420 Tourney Rd
Ste 100
Valencia, CA 91355-5601

Mailing address

27420 Tourney Rd
Ste 100
Valencia, CA 91355-5631
Phone (562) 881-9879

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121112000464 CA Practitioner - Optometry 1557512936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Craig Helm M D a Professional CorporationGroup PAC ID 2365588910, 10 clinicians

Practice addresses (Care Compare)

27420 Tourney Rd
Suite 100
Valencia, CA 91355-5631
Phone (661) 259-3937

Merit-based Incentive Payment System (MIPS)

Final score
82.12 of 100Reported as group
Quality
96.62
Improvement activities
40
Cost
42.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14022CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1831403476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27420 TOURNEY RD",
            "address_2": "STE 100",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555631",
            "telephone_number": "562-881-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27420 TOURNEY RD",
            "address_2": "STE 100",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555601",
            "telephone_number": "661-259-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.