DR. LISA R FORTUNA MD
NPI 1790733871
Psychiatry & Neurology - Child & Adolescent Psychiatry in Riverside, CA

Q: What is Lisa Fortuna's NPI number?

The NPI number for Lisa Fortuna is 1790733871. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Lisa Fortuna's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Fortuna was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 04, 2006PECOS Enrolled

3390 UNIVERSITY AVE STE 115, RIVERSIDE, CA 92501(844) 827-8000 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Lisa R Fortuna Md NPPES

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

DR. LISA R FORTUNA MD (NPI 1790733871) is an individual child & adolescent psychiatry provider in Riverside, California, licensed in Massachusetts (210650) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790733871

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameDR. LISA R FORTUNACredential: MD

Location Address3390 UNIVERSITY AVE STE 115Riverside, CA 92501-3315

Mailing Address3390 University Ave Ste 115Riverside, CA 92501-3315 · (844) 827-8000

Phone(844) 827-8000

Sole ProprietorYes

Enumeration DateMay 4, 2006

Last NPPES UpdateJanuary 8, 2024

NPPES CertifiedJanuary 8, 2024

✔ NPI 1790733871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in MA · 210650

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 210650 (MA)

3390 UNIVERSITY AVE STE 115, Riverside, CA 92501

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa R Fortuna Md 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 6

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

DR. HENRY TZU KUAN YANG MD

Psychiatry & Neurology (Neurology)