DR. STEPHANIE MAE LIESER M.D.
NPI 1336414689
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since March 20, 2012PECOS Enrolled
2516 STOCKTON BLVD, PEDIATRIC RESIDENCY PROGRAM, SACRAMENTO, CA 95817(916) 734-2428 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Stephanie Mae Lieser M.d. NPPES

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

DR. STEPHANIE MAE LIESER M.D. (NPI 1336414689) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336414689
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. STEPHANIE MAE LIESERCredential: M.D.
Location Address2516 STOCKTON BLVD, PEDIATRIC RESIDENCY PROGRAMSacramento, CA 95817-2208
Mailing Address2516 Stockton Blvd, Pediatric Residency ProgramSacramento, CA 95817-2208 · (916) 734-2428
Sole ProprietorNo
Enumeration DateMarch 20, 2012
Last NPPES UpdateDecember 16, 2021
NPI 1336414689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2516 STOCKTON BLVD, Sacramento, CA 95817

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. Stephanie Mae Lieser M.d. 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 20

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

Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Pediatrics (Pediatric Infectious Diseases)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Pediatrics (Pediatric Cardiology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Pediatrics (Pediatric Endocrinology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Pediatrics (Pediatric Hematology-Oncology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817

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 Stephanie Lieser's NPI number?

The NPI number for Stephanie Lieser is 1336414689. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Where is Stephanie Lieser located?

Stephanie Lieser practices at 2516 Stockton Blvd Pediatric Residency Program, Sacramento, CA 95817. The listed phone number is (916) 734-2428.

What is Stephanie Lieser's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stephanie Lieser enrolled in Medicare?

Yes. Stephanie Lieser is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Lieser was last updated on December 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.