LILY ENAYATI MD INC
NPI 1205592946
Internal Medicine in San Mateo, CA
- Organization
- Internal Medicine
- CLIA Number: 05D2270678
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-18-2026
About LILY ENAYATI MD INC
This page provides the complete NPI Profile along with additional information for Lily Enayati Md Inc, an internist established in San Mateo, California operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1205592946 assigned on November 2021. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michelle Pfeffer (Practice Manager)
- NPI
- 1205592946 Verify this NPI
- Provider Name
- LILY ENAYATI MD INC
- Entity Type
- Organization
- Location Address
- 1 BAYWOOD AVE STE 10 SAN MATEO, CA 94402
- Location Phone
- (650) 342-2974
- Location Fax
- (650) 347-5404
- Mailing Address
- 1 BAYWOOD AVE STE 10 SAN MATEO, CA 94402
- Mailing Phone
- (650) 342-2974
- Mailing Fax
- (650) 347-5404
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-16-2021
- Last Update Date
- 11-16-2021
- Code Navigator
An internist like Lily Enayati Md Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2270678
- Facility Type
- Physician Office
- Certificate Effective Date
- October 19, 2024
- Certificate Expiration Date
- October 18, 2026
- Laboratory Director
- LILY ENAYATI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lily Enayati Md Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205592946, enumerated as an "organization" on November 16, 2021.
The provider is located at 1 BAYWOOD AVE STE 10 SAN MATEO, CA 94402 and the phone number is (650) 342-2974.
Internal Medicine with taxonomy code 207R00000X.
