DR. LISA ANNE RILEY MD
NPI 1679899801
Student in an Organized Health Care Education/Training Program in San Jose, CA

Active since April 13, 2010PECOS EnrolledAccepts Medicare Assignment
751 S BASCOM AVE, DEPT OF MEDICINE, 4TH FL, SAN JOSE, CA 95128(408) 885-6305 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa Anne Riley Md NPPES

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

DR. LISA ANNE RILEY MD (NPI 1679899801) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2010).

NPPES Registry Identity

NPI1679899801
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. LISA ANNE RILEYCredential: MD
Location Address751 S BASCOM AVE, DEPT OF MEDICINE, 4TH FLSan Jose, CA 95128-2604
Mailing Address751 S Bascom Ave, Dept Of Medicine, 4th FlSan Jose, CA 95128-2604 · (408) 885-6305
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2010
Enumeration DateApril 13, 2010
Last NPPES UpdateDecember 15, 2021
NPI 1679899801 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.
751 S BASCOM AVE, San Jose, CA 95128

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 Anne Riley 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 ID5294962411
PECOS Enrollment IDI20131216000306
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.

Pharmacist
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE, DEPARTMENT OF MEDICINE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Perfusionist
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Thoracic Surgery (Cardiothoracic Vascular Surgery)
751 S BASCOM AVE, CARDIAC SURGERY DEPT
SAN JOSE, CA 95128
Internal Medicine
751 S BASCOM AVE, RADIATION ONCOLOGY
SAN JOSE, CA 95128

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 Riley's NPI number?

The NPI number for Lisa Riley is 1679899801. It was assigned to this individual provider in the NPPES registry on April 13, 2010.

Where is Lisa Riley located?

Lisa Riley practices at 751 S Bascom Ave Dept Of Medicine, 4th Fl, San Jose, CA 95128. The listed phone number is (408) 885-6305.

What is Lisa Riley's specialty?

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

Is Lisa Riley enrolled in Medicare?

Yes. Lisa Riley 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 Riley was last updated on December 15, 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.