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LISA JO BROWN FNP-C
NPI 1770116808
General Practice in Upland, CA

Active since February 17, 2020PECOS Enrolled
440 N MOUNTAIN AVE STE 103, UPLAND, CA 91786(888) 777-1945(805) 413-9099 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2022, Feb 17, 2020 (2 updates tracked since 2020).

About Lisa Jo Brown Fnp-c NPPES

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

LISA JO BROWN FNP-C (NPI 1770116808) is an individual general practice provider in Upland, California, licensed in California (95013982) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lakewood.

NPPES Registry Identity

NPI1770116808
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameLISA JO BROWNCredential: FNP-C
Location Address440 N MOUNTAIN AVE STE 103Upland, CA 91786-5183
Mailing Address4115 South StLakewood, CA 90712-1043 · (239) 595-7011
Phone(888) 777-1945
Fax(805) 413-9099
Sole ProprietorYes
Enumeration DateFebruary 17, 2020
Last NPPES UpdateSeptember 15, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1770116808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · 95013982
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
440 N MOUNTAIN AVE STE 103, Upland, CA 91786
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Secondary Practice Location 1

Location 14115 South StLakewood, CA 90712-1043 · Phone (239) 595-7011

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Jo Brown Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

MRS. VICTORIA BONIFACIO YI
Nurse Practitioner
440 N MOUNTAIN AVE STE 103
UPLAND, CA 91786
San Bernardino County (805) 719-3700

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 Brown's NPI number?

The NPI number for Lisa Brown is 1770116808. It was assigned to this individual provider in the NPPES registry on February 17, 2020.

Where is Lisa Brown located?

Lisa Brown practices at 440 N Mountain Ave Ste 103, Upland, CA 91786. The listed phone number is (888) 777-1945.

What is Lisa Brown's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Lisa Brown enrolled in Medicare?

Yes. Lisa Brown is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Brown was last updated on September 15, 2022. 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.