Active NPI
Lisa L. Sanborn
- Health Educator
- Banning, CA
National Provider Identifier
1881995090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- RW3670
- Practice address
- 245 N Murray St
Banning, CA 92220-5528 - Phone
- (951) 663-8322
- Fax
- (951) 755-8915
- NPI assigned
- Nov 4, 2010
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | RW3670 | CA | Primary |
Addresses
Primary practice location
245 N Murray St
Banning, CA 92220-5528
Mailing address
628 S 8TH St
Banning, CA 92220-4512
Phone (951) 849-9491
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RW3670 | CA | MD | Health Educator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soroptimist House of Hope, Inc. | Past | Accepting new patients | |
| Group Home Support Services | Past | Accepting new patients |
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.
-
dba New Beginnings Addiction & Recovery Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Banning, CA
- NPI 1578893699
-
- Substance Abuse Rehabilitation Facility
- Banning, CA
- NPI 1962631077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1881995090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 S 8TH ST",
"city": "BANNING",
"state": "CA",
"postal_code": "922204512",
"telephone_number": "951-849-9491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 N MURRAY ST",
"city": "BANNING",
"state": "CA",
"postal_code": "922205528",
"telephone_number": "951-663-8322",
"fax_number": "951-755-8915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANBORN",
"first_name": "LISA",
"middle_name": "L.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-04",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "CA",
"license": "RW3670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Banning, CA
- San Gorgonio Memorial Health Care District
- San Gorgonio Memorial Health Care District
- San Gorgonio Memorial Hospital
- San Gorgonio Memorial Hospital
- Marie Dolores San Roman, PHARMD
- Bianca Sanchez, ASCW
- Juan Francico Sanchez
- Rigel Sanchez, MASSAGE THERAPIST
- Edward Sandoval, AOD COUNSELOR
- Mark Anthony Mayrina Santos, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.