Individual provider Active NPI

Lisa Raptis, M.D.

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Pomona, CA
National Provider Identifier
1902073802
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X
License
A122558 Issued in CA
Practice address
1866 N Orange Grove Ave Ste 202
Pomona, CA 91767-3042
Phone
(909) 623-8796
Fax
(909) 623-3076
NPI assigned
May 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X A122558 CA Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X A122558 CA

Addresses

Primary practice location

1866 N Orange Grove Ave Ste 202
Pomona, CA 91767-3042

Mailing address

840 Towne Center Dr
Pomona, CA 91767-5900
Phone (909) 398-1550

Other names 1

  • Lisa Nandi Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130608000014 CA Practitioner - Hospice/Palliative CarePractitioner - Emergency Medicine 0446326532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Emergency Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chaparral Medical Group IncGroup PAC ID 6800709403, 66 clinicians

Practice addresses (Care Compare)

1866 N Orange Grove Ave
Pomona, CA 91767-3042

Hospital & facility affiliations

  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231

Merit-based Incentive Payment System (MIPS)

Final score
78.08 of 100Reported as group
Quality
40.87
Promoting interoperability
75
Improvement activities
40
Cost
74.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A122558CAMDHospice and Palliative Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group, Inc. CurrentSince May 6, 2013 Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
Chaparral Medical Group Inc. CurrentSince May 6, 2013 Accepting new patients
Chaparral Medical Group Inc Internal Medicine Past Accepting new patients
Chino Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

1801 W Olympic Blvd
Pasadena, CA 91199

1866 N Orange Grove Ave
Ste 101
Pomona, CA 91767
Phone (909) 505-1078

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

1940 N Orange Grove Ave
Ste A
Pomona, CA 91767
Phone (909) 629-0444

840 Towne Center Dr
Pomona, CA 91767

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1902073802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 N ORANGE GROVE AVE STE 202",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673042",
            "telephone_number": "909-623-8796",
            "fax_number": "909-623-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPTIS",
        "first_name": "LISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-11",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A122558",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A122558",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "NANDI",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.