LISA M. VELASQUEZ MD
NPI 1396895199
Internal Medicine in Petaluma, CA

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
3900 LAKEVILLE HWY, PETALUMA, CA 94954(707) 765-3900 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa M. Velasquez Md NPPES

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

LISA M. VELASQUEZ MD (NPI 1396895199) is an individual internal medicine provider in Petaluma, California, licensed in California (A81608) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1999).

NPPES Registry Identity

NPI1396895199
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLISA M. VELASQUEZCredential: MD
Location Address3900 LAKEVILLE HWYPetaluma, CA 94954-5698
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1999
Enumeration DateJanuary 12, 2007
Last NPPES UpdateDecember 8, 2021
NPI 1396895199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A81608
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.
3900 LAKEVILLE HWY, Petaluma, CA 94954

Other Identifiers 1

Medicaid00A816080CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lisa M. Velasquez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931169406
PECOS Enrollment IDI20041019000359
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94954 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Family Medicine
3900 LAKEVILLE HWY
PETALUMA, CA 94954
Family Medicine
3900 LAKEVILLE HWY
PETALUMA, CA 94954
Internal Medicine (Gastroenterology)
3900 LAKEVILLE HWY
PETALUMA, CA 94954
Emergency Medicine
3900 LAKEVILLE HWY
PETALUMA, CA 94954
Audiologist
3900 LAKEVILLE HWY
PETALUMA, CA 94954
Pediatrics
3900 LAKEVILLE HWY
PETALUMA, CA 94954
Physical Therapist
3900 LAKEVILLE HWY
PETALUMA, CA 94954
Marriage & Family Therapist
3900 LAKEVILLE HWY, KAISER PERMANENTE
PETALUMA, CA 94954

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 Velasquez's NPI number?

The NPI number for Lisa Velasquez is 1396895199. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Lisa Velasquez located?

Lisa Velasquez practices at 3900 Lakeville Hwy, Petaluma, CA 94954. The listed phone number is (707) 765-3900.

What is Lisa Velasquez's specialty?

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

Is Lisa Velasquez enrolled in Medicare?

Yes. Lisa Velasquez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Velasquez was last updated on December 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.