1. Home
  2. Directory
  3. California
  4. San Mateo
  5. Internal Medicine
  6. NPI Profile

LILY ENAYATI MD INC
NPI 1205592946
Internal Medicine in San Mateo, CA

Active since November 16, 2021CLIA 05D2270678 · Waiver
1 BAYWOOD AVE STE 10, SAN MATEO, CA 94402(650) 342-2974(650) 347-5404 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lily Enayati Md Inc NPPES

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

LILY ENAYATI MD INC (NPI 1205592946) is a healthcare organization registered as an internal medicine in San Mateo, California and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through October 18, 2026 and lists Michelle Pfeffer, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1205592946
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLILY ENAYATI MD INC
Location Address1 BAYWOOD AVE STE 10San Mateo, CA 94402-1537
Mailing Address1 Baywood Ave Ste 10San Mateo, CA 94402-1537 · (650) 342-2974 · Fax (650) 347-5404
Phone(650) 342-2974
Fax(650) 347-5404
Organization SubpartNo
Authorized OfficialMichelle PfefferPractice Manager · (650) 342-2974
Enumeration DateNovember 16, 2021
NPPES CertifiedNovember 16, 2021
✔ NPI 1205592946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
1 BAYWOOD AVE STE 10, San Mateo, CA 94402
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2270678

Lily Enayati MD Inc · San Mateo, CA
Active · expires Oct 18, 2026
CLIA Number05D2270678
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorLily Enayati
Laboratory Phone(650) 342-2974
Laboratory LocationLily Enayati MD Inc1 Baywood Ave Suite 10, San Mateo, CA 94402
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

LILY N ENAYATI MD
Internal Medicine
1 BAYWOOD AVE STE 10
SAN MATEO, CA 94402
San Mateo County (650) 342-2974

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 Lily Enayati MD Inc's NPI number?

The NPI number for Lily Enayati MD Inc is 1205592946. It was assigned to this organization in the NPPES registry on November 16, 2021.

Where is Lily Enayati MD Inc located?

Lily Enayati MD Inc is located at 1 Baywood Ave Ste 10, San Mateo, CA 94402. The listed phone number is (650) 342-2974.

What is Lily Enayati MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Lily Enayati MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2270678) is associated with this NPI, valid through October 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lily Enayati MD Inc was last updated on November 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.