DR. ERINA LIE MD
NPI 1750771739
Dermatology in San Bruno, CA
About Dr. Erina Lie Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ERINA LIE MD (NPI 1750771739) is an individual dermatology provider in San Bruno, California, licensed in California (A178222) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in South San Francisco.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Erina Lie Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Erina Lie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94116
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94066 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN BRUNO, CA 94066
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 Erina Lie's NPI number?
The NPI number for Erina Lie is 1750771739. It was assigned to this individual provider in the NPPES registry on January 29, 2015.
Where is Erina Lie located?
Erina Lie practices at 801 Traeger Ave Ste 310, San Bruno, CA 94066. The listed phone number is (415) 757-9494.
What is Erina Lie's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Erina Lie enrolled in Medicare?
Yes. Erina Lie is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Erina Lie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erina Lie reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erina Lie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Erina Lie was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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. Erina Lie, MD · NPI 1750771739
Dermatology physician in San Bruno, California. Individual provider, active in the CMS NPPES registry since January 29, 2015.
## Identity
- **NPI:** 1750771739 (Entity type: Individual)
- **Enumerated:** January 29, 2015
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** A178222 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 TRAEGER AVE STE 310, San Bruno, CA 94066-3048
- **Phone:** (415) 757-9494
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1841373800, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2023
- **Other identifiers:** Other A178222 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1750771739) · Data from the CMS NPPES public registry.