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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: October 25, 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
Phone(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
Open in Google Maps ↗

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Snider reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uc Regents Uci Dept Of Pediatrics
8.8 mi
Pediatrics
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 143 clinicians in this Medicare group
NPI 1235187311 (714) 456-8068
Southern California Permanente Medical Group
13 mi
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1952333460 (714) 279-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JOSEPH ERWIN NGO SALUNDAY DNP, FNP-C
Nurse Practitioner (Family)
19200 JAMBOREE RD
IRVINE, CA 92612
Orange County (714) 456-8000
DR. ARIANA MARIE NELSON M.D.
Anesthesiology (Pain Medicine)
19200 JAMBOREE RD
IRVINE, CA 92612
Orange County (714) 456-8888
KIMBERLY ANN SUNG
Nurse Practitioner
19200 JAMBOREE RD
IRVINE, CA 92612
Orange County (714) 456-8888

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.

Which organizations bill Medicare for Lisa Snider's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Snider reassigns Medicare benefits to 2 organizations: Uc Regents Uci Dept Of Pediatrics (Orange, CA) and Southern California Permanente Medical Group (Anaheim, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Snider's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 23 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.