LISA HUMPHREYS MD MPH, PHYSICIAN, INC
NPI 1811673791
Internal Medicine - Hospice and Palliative Medicine in San Pedro, CA

Q: What is Lisa Humphreys MD Mph, Physician, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Active since June 26, 2023

1300 W 7TH STREET, SAN PEDRO, CA 90732(310) 779-7156 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Lisa Humphreys Md Mph, Physician, Inc NPPES

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

LISA HUMPHREYS MD MPH, PHYSICIAN, INC (NPI 1811673791) is a healthcare organization registered as a hospice and palliative medicine in San Pedro, California and active in the NPI registry since June 2023. The organization lists Lisa Marie Humphreys, President, as its authorized official.

NPPES Registry Identity

NPI1811673791

Entity TypeOrganization

Primary Taxonomy207RH0002X

Legal Business NameLISA HUMPHREYS MD MPH, PHYSICIAN, INC

Location Address1300 W 7TH STREETSan Pedro, CA 90732

Mailing AddressPo Box 237, 1536 W. 25th St.San Pedro, CA 90732

Phone(310) 779-7156

Organization SubpartNo

Authorized OfficialLisa Marie HumphreysPresident · (310) 779-7156

Enumeration DateJune 26, 2023

Last NPPES UpdateOctober 27, 2023

NPPES CertifiedOctober 26, 2023

✔ NPI 1811673791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RH0002X

Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

1300 W 7TH STREET, San Pedro, CA 90732

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Humphreys Md Mph, Physician, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lisa Humphreys MD Mph, Physician, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lisa Humphreys, M.D.

Hospice/Palliative Care

NPI 1487611687

1300 W 7TH ST
San Pedro, CA 90732

(310) 514-5410

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Humphreys MD Mph, Physician, Inc's NPI number?

The NPI number for Lisa Humphreys MD Mph, Physician, Inc is 1811673791. It was assigned to this organization in the NPPES registry on June 26, 2023.

Where is Lisa Humphreys MD Mph, Physician, Inc located?

Lisa Humphreys MD Mph, Physician, Inc is located at 1300 W 7th Street, San Pedro, CA 90732. The listed phone number is (310) 779-7156.

What is Lisa Humphreys MD Mph, Physician, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Lisa Humphreys MD Mph, Physician, Inc enrolled in Medicare?

Yes. Lisa Humphreys MD Mph, Physician, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lisa Humphreys MD Mph, Physician, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hospice/Palliative Care) reassigns their Medicare billing to Lisa Humphreys MD Mph, Physician, Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Humphreys MD Mph, Physician, Inc was last updated on October 27, 2023. 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.