DR. JONATHAN MELTON LISH MD
NPI 1811459456
Family Medicine in San Bruno, CA
About Dr. Jonathan Melton Lish Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JONATHAN MELTON LISH MD (NPI 1811459456) is an individual family medicine provider in San Bruno, California, licensed in California (A177373) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Laguna Niguel, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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. Jonathan Melton Lish 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.
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jonathan Lish's NPI number?
The NPI number for Jonathan Lish is 1811459456. It was assigned to this individual provider in the NPPES registry on April 3, 2019.
Where is Jonathan Lish located?
Jonathan Lish practices at 851 Cherry Ave Ste 4, San Bruno, CA 94066. The listed phone number is (650) 273-9412.
What is Jonathan Lish's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jonathan Lish enrolled in Medicare?
Yes. Jonathan Lish 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 Jonathan Lish was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Dr. Jonathan Melton Lish, MD · NPI 1811459456
Family Medicine physician in San Bruno, California. Individual provider, active in the CMS NPPES registry since April 3, 2019.
## Identity
- **NPI:** 1811459456 (Entity type: Individual)
- **Enumerated:** April 3, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A177373 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 851 CHERRY AVE STE 4, San Bruno, CA 94066-2953
- **Phone:** (650) 273-9412
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811459456) · Data from the CMS NPPES public registry.