DR. LISA DIANE HISAW
NPI 1619395597
Dermatology in Santa Clara, CA
About Dr. Lisa Diane Hisaw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LISA DIANE HISAW (NPI 1619395597) is an individual dermatology provider in Santa Clara, California, licensed in California (A141079) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Lisa Diane Hisaw 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95051 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
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 Hisaw's NPI number?
The NPI number for Lisa Hisaw is 1619395597. It was assigned to this individual provider in the NPPES registry on March 28, 2014.
Where is Lisa Hisaw located?
Lisa Hisaw practices at 710 Lawrence Expy Gme Dept. 384, Santa Clara, CA 95051. The listed phone number is (408) 851-4480.
What is Lisa Hisaw's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Lisa Hisaw enrolled in Medicare?
Yes. Lisa Hisaw 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 Hisaw was last updated on December 17, 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.
# Dr. Lisa Diane Hisaw · NPI 1619395597
Dermatology physician in Santa Clara, California. Individual provider, active in the CMS NPPES registry since March 28, 2014.
## Identity
- **NPI:** 1619395597 (Entity type: Individual)
- **Enumerated:** March 28, 2014
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** A141079 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 710 LAWRENCE EXPY, GME DEPT. 384, Santa Clara, CA 95051-5173
- **Phone:** (408) 851-4480
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of California, Irvine, California College Of Medicine, class of 2014
## Record status
- **NPPES last updated:** December 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1619395597) · Data from the CMS NPPES public registry.