Active NPI
Lisa Beth Abdishoo, MD
- Internal Medicine Physician
- Tustin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A64172
- Practice address
- 1 Hope Dr
Tustin, CA 92782-0221 - Phone
- (714) 247-0300
- Fax
- (714) 259-1598
- NPI assigned
- Oct 20, 2006
- Last updated
- May 20, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A64172 | CA | Primary |
Addresses
Primary practice location
1 Hope Dr
Tustin, CA 92782-0221
Mailing address
14642 Newport Ave Ste 300
Tustin, CA 92780-6059
Phone (714) 247-0300
Other practice location 1
14642 Newport Ave Ste 200
Tustin, CA 92780-6058
Phone (714) 247-0300
Other practice location 2
947 S Anaheim Blvd Ste 260
Anaheim, CA 92805-5591
Phone (714) 247-0300
Other practice location 3
1100B N Tustin Ave Ste A
Santa Ana, CA 92705-3505
Phone (714) 247-0300
Other names 1
- Lisa Beth Levsen
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A64172 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurtt Family Health Clinic Inc | Current | Accepting new patients | |
| Hurtt Family Health Clinic Inc. | Current | Accepting new patients | |
| Hurtt Family Health Clinic Inc. | Current | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Hurtt Family Health Clinic Inc. | Past | Accepting new patients |
Locations
947 S Anaheim Blvd
Ste 260
Anaheim, CA 92805
1100 N Tustin Ave
Ste A
Santa Ana, CA 92705
Phone (714) 835-6055
1100 N Tustin Ave
Ste Adf
Santa Ana, CA 92705
1 Hope Dr
Tustin, CA 92782
Phone (714) 247-4398
1 Hope Dr
Ste B
Tustin, CA 92782
14642 Newport Ave
Ste 300
Tustin, CA 92780
Phone (714) 669-4422
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ADEBAA
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Joshua House | Federally qualified health center | Corporate Officer | Jul 1, 2012 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1942398367
Corporate Officer
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Tustin, CA
- NPI 1306965587
-
- Federally Qualified Health Center (FQHC)
- Santa Ana, CA
- NPI 1003250093
-
- Federally Qualified Health Center (FQHC)
- Anaheim, CA
- NPI 1144760943
-
- Federally Qualified Health Center (FQHC)
- Tustin, CA
- NPI 1659945863
-
dba Alta Bates Summit Medical Center - Summit Campus
- Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1194171371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1881776326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14642 NEWPORT AVE STE 300",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806059",
"telephone_number": "714-247-0300",
"fax_number": "714-259-1598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOPE DR",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927820221",
"telephone_number": "714-247-0300",
"fax_number": "714-259-1598"
}
],
"practiceLocations": [
{
"address_1": "14642 Newport Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Tustin",
"state": "CA",
"postal_code": "927806058",
"country_code": "US",
"telephone_number": "714-247-0300",
"fax_number": "714-259-1598",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "947 S Anaheim Blvd Ste 260",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928055591",
"country_code": "US",
"telephone_number": "714-247-0300",
"fax_number": "714-259-1598",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100B N Tustin Ave Ste A",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927053505",
"country_code": "US",
"telephone_number": "714-247-0300",
"fax_number": "714-259-1598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDISHOO",
"first_name": "LISA",
"middle_name": "BETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A64172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "LEVSEN",
"middle_name": "BETH",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.