LISA C. ANDELIN MD
NPI 1881753408
Family Medicine in Los Angeles, CA

Q: What is Lisa Andelin's NPI number?

The NPI number for Lisa Andelin is 1881753408. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Q: What is Lisa Andelin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Andelin was last updated on December 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 08, 2006PECOS Enrolled

6041 CADILLAC AVE, LOS ANGELES, CA 90034(323) 857-2000 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lisa C. Andelin Md NPPES

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

LISA C. ANDELIN MD (NPI 1881753408) is an individual family medicine provider in Los Angeles, California, licensed in California (A61114) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881753408

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLISA C. ANDELINCredential: MD

Location Address6041 CADILLAC AVELos Angeles, CA 90034-1702

Mailing Address6041 Cadillac AveLos Angeles, CA 90034-1702 · (323) 857-2000

Phone(323) 857-2000

Sole ProprietorNo

Enumeration DateDecember 8, 2006

Last NPPES UpdateDecember 2, 2021

✔ NPI 1881753408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A61114

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6041 CADILLAC AVE, Los Angeles, CA 90034

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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)

Lisa C. Andelin 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

EMILY SHARON PARKHURST M.S., C.G.C

Genetic Counselor, MS

6041 CADILLAC AVE, VENICE BUILDING, 3RD FLOOR
LOS ANGELES, CA 90034

Los Angeles County (323) 857-4109

DR. JAY PIL RHO PHARM.D.

Pharmacist

6041 CADILLAC AVE, KAISER PERMANENTE WEST LOS ANGELES MEDICAL CENTER
LOS ANGELES, CA 90034

Los Angeles County (323) 857-2157

DR. MICHAEL DENNIS CINNAMOND PHARM. D.

Pharmacist

6041 CADILLAC AVE, KAISER PERMANENTE WLA
LOS ANGELES, CA 90034

Los Angeles County (323) 857-2044

DR. KHANH PHUONG NGO PHARM. D.

Pharmacist