DR. LISA RENEE DI ENNO M.D.
NPI 1407050297
Pediatrics in San Diego, CA

Q: What is Lisa Di Enno's NPI number?

The NPI number for Lisa Di Enno is 1407050297. It was assigned to this individual provider in the NPPES registry on June 13, 2007. The provider is also known as Lisa Renee Rose.

Q: What is Lisa Di Enno's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Di Enno was last updated on December 9, 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.

Active since June 13, 2007

3020 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-8800 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2021, Nov 9, 2016 (2 updates tracked since 2016).

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About Dr. Lisa Renee Di Enno M.d. NPPES

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

DR. LISA RENEE DI ENNO M.D. (NPI 1407050297) is an individual pediatrics provider in San Diego, California, licensed in California (C162286) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1407050297

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. LISA RENEE DI ENNOCredential: M.D.

Location Address3020 CHILDRENS WAYSan Diego, CA 92123-4223

Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300

Phone(858) 966-8800

Sole ProprietorNo

Enumeration DateJune 13, 2007

Last NPPES UpdateDecember 9, 20212 updates tracked since enumeration

NPPES CertifiedDecember 9, 2021

✔ NPI 1407050297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CA · C162286✔ Licensed in VA · 0101245344

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3020 CHILDRENS WAY, San Diego, CA 92123

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Other Names 1

Former Name (1)Lisa Renee Rose

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware, Molina Healthcare.Insurance ›

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.

DR. NATALIE E. ELLINGTON MD

Pathology (Pediatric Pathology)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-5944

SHANNA MICHAEL MILLER-NABAS RDN

Physician Assistant

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 576-1700

DR. ADRIANA HERRERA TREMOULET M.D.

Pediatrics (Pediatric Infectious Diseases)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-7785

LORI MCCURDY M.S., CCC-SLP

Speech-Language Pathologist

3020 CHILDRENS WAY, MC5010
SAN DIEGO, CA 92123

San Diego County (858) 968-5838

MS. ANN M SUMIDA-JOHNSON M.A..

Audiologist

3020 CHILDRENS WAY, MC 5010
SAN DIEGO, CA 92123

San Diego County (858) 966-5838

RICHARD JOHN NEWTON M.D.

Pediatrics

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8036

DR. SHAHFAR KHAN M.D.

Pediatrics (Pediatric Emergency Medicine)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8800

CARLY BETH WELCH CPNP-AC

Nurse Practitioner (Pediatrics)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8800

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 Di Enno's NPI number?

The NPI number for Lisa Di Enno is 1407050297. It was assigned to this individual provider in the NPPES registry on June 13, 2007. The provider is also known as Lisa Renee Rose.

Where is Lisa Di Enno located?

Lisa Di Enno practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8800.

What is Lisa Di Enno's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Lisa Di Enno accept?

Health plans from Highmark Blue Cross Blue Shield Delaware and Molina Healthcare list Lisa Di Enno as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Di Enno was last updated on December 9, 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.