LISA MARIA ABRESCH (NPI# 1114298130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114298130 |
| Entity Type | Individual |
| Full Name | LISA MARIA ABRESCH |
| Credential | PA |
| Practice Address |
3220 Mission Ave Ste 1 Oceanside CA 92058 |
| Mailing Address |
150 Valpreda Rd San Marcos CA 92069-2973 |
| Practice Telephone | 7607366767 |
| Practice Fax Number | 7607368740 |
| Mailing Telephone | 7607366767 |
| Mailing Fax Number | 7607368740 |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2018-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA21227 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7592 Broadway, Lemon Grove, CA 919451604 | 6195152550 | |
| 823 Gateway Center Way, San Diego, CA 921024541 | 6195152300 | 6199064564 |
| Street Address |
3220 MISSION AVE STE 1 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386330 | Laurie Ann Brebrick | Registered Nurse | 3220 Mission Ave Ste 1, Oceanside, CA 92058-1354 | 2005-06-20 |
| 1750474177 | Jeremy Daniel Blakespear | Physician Assistant | 3220 Mission Ave Ste 1, Oceanside, CA 92058-1354 | 2006-09-30 |
| 1649370164 | Phillip W Poth | Internal Medicine | 3220 Mission Ave Ste 1, Oceanside, CA 92058-1354 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463555 | Michael William Baker | Dental Hygienist | 14th St., Oceanside, CA 92058 | 2020-10-02 |
| 1548877004 | Juliaisa Gisselle Caldero | Dental Assistant | Bldg 13128, Oceanside, CA 92058 | 2020-09-29 |
| 1932715836 | Leilani Viveros | Behavior Technician | 251 Airprort Road, Oceanside, CA 92058 | 2020-09-17 |
| 1043835952 | Emma Caitlin Johnson | Dentist | 92055 14th St, Bldg 13128, Oceanside, CA 92058 | 2020-06-16 |
| 1073135836 | Roxana Ivette Rodriguez | Military Health Care Provider | 22190 Marine Dr, Oceanside, CA 92058 | 2020-05-14 |
| 1699307744 | Rachael Bousman | Specialist/Technologist | 13129 14th St, Area 13, Camp Pendleton, CA 92058 | 2020-02-06 |
| 1811528359 | Misaael Valdes | Military Health Care Provider | Building, B St, Oceanside, CA 92058 | 2020-02-03 |
| 1497385736 | Phong Thanh Tran | Dental Hygienist | 599 A Ave #501, Oceanside, CA 92058 | 2020-01-24 |
| 1245796366 | Christian Thompson | Physician Assistant | 1st Med Bn, Camp Pendleton, Oceanside, CA 92058 | 2019-02-13 |
| 1104308568 | Caila Martin | Behavior Technician | 293 Douglas Dr Apt. 272, Oceanside, CA 92058 | 2018-09-02 |
| Find all providers in zip 92058 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273617 | Chelsea Marie Ellingson | Physician Assistant | 3142 Vista Way Ste 401, Oceanside, CA 92056-3619 | 2019-09-07 |
| 1164846747 | Stephen F Funk | Physician Assistant | 3037 David Ct, Oceanside, NY 11572-4415 | 2014-02-18 |
| 1205026861 | Kelly T. Sales | Physician Assistant | 3230 Waring Ct Ste J, Oceanside, CA 92056-4509 | 2007-07-30 |
| 1346306123 | Susan Radoff | Physician Assistant | 3910 Vista Way Ste 106, Oceanside, CA 92056-4513 | 2006-12-28 |
| 1326076043 | Michelle F. Buxton | Physician Assistant | 4318 Mission Ave, Oceanside, CA 92057-6541 | 2006-06-29 |
| 1831135409 | Don Juan Ortiz | Physician Assistant | 465 College Blvd., Ste. 1, Oceanside, CA 92057 | 2006-06-21 |
| 1518953660 | Robin M. Waggoner | Physician Assistant | 3142 Vista Way, Suite 100, Oceanside, CA 92056-3627 | 2005-09-23 |
| 1194223834 | Waqas Ali | Physician Assistant | 1 Healthy Way, Oceanside, NY 11572-1551 | 2018-01-29 |
| 1316465214 | Alyson Wentworth | Physician Assistant | 200 Mercy Circle, Oceanside, CA 92055 | 2017-08-31 |
| 1972027092 | Shanelle Tashae Graham | Physician Assistant | 1 Healthy Way, Oceanside, NY 11572-1551 | 2017-07-31 |
| Find all providers in OCEANSIDE | ||||
Please comment or provide details below to improve the information on LISA MARIA ABRESCH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.