DR. LISA A SNIDER MD
NPI 1154399772
Pediatrics - Developmental - Behavioral Pediatrics in Irvine, CA

Active since March 09, 2006PECOS Enrolled
19200 JAMBOREE RD, IRVINE, CA 92612(714) 456-8888 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2024, Dec 8, 2021 (2 updates tracked since 2021).

About Dr. Lisa A Snider Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA A SNIDER MD (NPI 1154399772) is an individual developmental - behavioral pediatrics provider in Irvine, California, licensed in California (A067577) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Ana.

NPPES Registry Identity

NPI1154399772
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameDR. LISA A SNIDERCredential: MD
Location Address19200 JAMBOREE RDIrvine, CA 92612-2570
Mailing Address200 S Manchester Ave Ste 300Orange, CA 92868-3219 · (714) 456-8888
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
NPI 1154399772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License Licensed in CA · A067577
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
19200 JAMBOREE RD, Irvine, CA 92612

Secondary Practice Location 1

Location 13401 S Harbor BlvdSanta Ana, CA 92704-7933 · Phone (888) 988-2800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Lisa A Snider Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
19200 JAMBOREE RD
IRVINE, CA 92612
Anesthesiology (Pain Medicine)
19200 JAMBOREE RD
IRVINE, CA 92612
Nurse Practitioner
19200 JAMBOREE RD
IRVINE, CA 92612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Snider's NPI number?

The NPI number for Lisa Snider is 1154399772. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Lisa Snider located?

Lisa Snider practices at 19200 Jamboree Rd, Irvine, CA 92612. The listed phone number is (714) 456-8888.

What is Lisa Snider's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Lisa Snider enrolled in Medicare?

Yes. Lisa Snider is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Snider was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.