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DR. LISA PHAN PHARMD
NPI 1912335480
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Martinez, CA

Active since October 21, 2013
200 MUIR RD, KAISER PERMANENTE, MARTINEZ, CA 94553(650) 299-2000 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 22, 2021, Jan 11, 2018 (2 updates tracked since 2018).

About Dr. Lisa Phan Pharmd NPPES

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

DR. LISA PHAN PHARMD (NPI 1912335480) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Martinez, California, licensed in California (67607) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1912335480
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameDR. LISA PHANCredential: PHARMD
Location Address200 MUIR RD, KAISER PERMANENTEMartinez, CA 94553-4614
Mailing Address1291 Marshall St, Kaiser Permanente- Willow TrailerRedwood City, CA 94063-2531
Phone(650) 299-2000
Sole ProprietorNo
Enumeration DateOctober 21, 2013
Last NPPES UpdateNovember 22, 20212 updates tracked since enumeration
NPPES CertifiedNovember 22, 2021
✔ NPI 1912335480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in CA · 67607
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
200 MUIR RD, Martinez, CA 94553
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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.

TIFFANY HO PHARMD
Pharmacist
200 MUIR RD
MARTINEZ, CA 94553
Contra Costa County (408) 598-0507
JOANNE AMALA SUPERSAD MD
Pediatrics (Adolescent Medicine)
200 MUIR RD
MARTINEZ, CA 94553
Contra Costa County (925) 372-1000
CLARISSE ANNE R. WONG MD
Family Medicine
200 MUIR RD
MARTINEZ, CA 94553
Contra Costa County (925) 372-1999
MISS UYEN DO
Pharmacist
200 MUIR RD
MARTINEZ, CA 94553
Contra Costa County (925) 313-4544
JULIA ANN GEARHART MS, CCC-SLP
Speech-Language Pathologist
200 MUIR RD, HOME HEALTH OFFICES
MARTINEZ, CA 94553
Contra Costa County (925) 595-3684
YOLANDA TRUE RPH
Pharmacist
200 MUIR RD
MARTINEZ, CA 94553
Contra Costa County (925) 313-4051
ANNE RUSSELL PT
Physical Therapist
200 MUIR RD, KAISER HOME HEALTH AGENCY
MARTINEZ, CA 94553
Contra Costa County (925) 313-4668
DIANE MILWARD R.D., C.D.E
Dietitian, Registered
200 MUIR RD
MARTINEZ, CA 94553
Contra Costa County (925) 313-4743

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 Phan's NPI number?

The NPI number for Lisa Phan is 1912335480. It was assigned to this individual provider in the NPPES registry on October 21, 2013.

Where is Lisa Phan located?

Lisa Phan practices at 200 Muir Rd Kaiser Permanente, Martinez, CA 94553. The listed phone number is (650) 299-2000.

What is Lisa Phan's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Lisa Phan was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.