LISA K IIJIMA N.P.
NPI 1639583545
Nurse Practitioner - Family in Orinda, CA

Active since June 18, 2014PECOS EnrolledAccepts Medicare Assignment
140 BROOKWOOD RD STE 201, ORINDA, CA 94563(925) 254-9090 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2020, Sep 30, 2016 (2 updates tracked since 2016).

About Lisa K Iijima N.p. NPPES

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

LISA K IIJIMA N.P. (NPI 1639583545) is an individual family provider in Orinda, California, licensed in California (21058) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1639583545
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA K IIJIMACredential: N.P.
Location Address140 BROOKWOOD RD STE 201Orinda, CA 94563-3047
Mailing Address1450 Treat Blvd Ste 300Walnut Creek, CA 94597-2168 · (925) 952-2828
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 18, 2014
Last NPPES UpdateOctober 21, 20242 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
NPI 1639583545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 21058
Also ListedRegistered NurseTaxonomy 163W00000X · License 767559 (CA)
140 BROOKWOOD RD STE 201, Orinda, CA 94563

Secondary Practice Locations 2

Location 1930 Cole St, Ste 102San Francisco, CA 94117-4316 · Phone (415) 964-4789 · Fax (415) 965-7930
Location 25095 Telegraph Ave Ste BOakland, CA 94609-2067 · Phone (800) 972-5547

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 K Iijima N.p. 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 ID8527284439
PECOS Enrollment IDI20140730001324
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94563 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 3

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

Internal Medicine
140 BROOKWOOD RD STE 201
ORINDA, CA 94563
Nurse Practitioner (Family)
140 BROOKWOOD RD STE 201
ORINDA, CA 94563
Family Medicine
140 BROOKWOOD RD STE 201
ORINDA, CA 94563

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 Iijima's NPI number?

The NPI number for Lisa Iijima is 1639583545. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Lisa Iijima located?

Lisa Iijima practices at 140 Brookwood Rd Ste 201, Orinda, CA 94563. The listed phone number is (925) 254-9090.

What is Lisa Iijima's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Iijima enrolled in Medicare?

Yes. Lisa Iijima 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 Iijima was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.