DR LISA SHIVES, MD, PC (NPI# 1508215773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508215773 |
| Entity Type | Organization |
| Organization Name | DR LISA SHIVES, MD, PC |
| Other Organization Name | LISA SHIVES MD SLEEP SOLUTIONS |
| Practice Address |
1853 Lyndon Rd San Diego CA 92103-1644 |
| Practice Telephone | 7739144961 |
| Mailing Telephone | 7739144961 |
| Mailing Fax Number | 8478278706 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | LISA JO SHIVES (PRESIDENT) |
| Authorized Official Telephone | 7739144961 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NPI | 1740322825 | 01 |
| Other Name | Type Code |
|---|---|
| Lisa Shives MD Sleep Solutions | Doing Business As Name - Organization |
| Street Address |
1853 LYNDON RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720498496 | Christopher Nikolaus Schmickl | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103 | 2014-05-05 |
| 1174861033 | Dominic A Munafo | Internal Medicine | 5471 Kearny Villa Rd Ste 202, San Diego, CA 92123-1141 | 2013-01-27 |
| 1740322825 | Lisa Jo Shives | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2007-02-13 |
| 1952441396 | Renata Shafor | Internal Medicine | 10052 Mesa Ridge Ct, Suite 101, San Diego, CA 92121-2971 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704244 | Inna Rostker, Dds A PC | Internal Medicine | 109 Stevenson Street Suite 200, San Francisco, CA 94105 | 2019-08-08 |
| 1881060499 | Bakersfield Sleep Center | Internal Medicine | 1141 Pacific St Ste F, San Luis Obispo, CA 93401-3307 | 2015-08-18 |
| 1659752798 | Evergreen Sleep Center | Internal Medicine | 2365 Quimby Rd, Suite 210, San Jose, CA 95122-1337 | 2015-06-15 |
| 1073947305 | Advanced Sleep and Gastroenterology Laboratories, Inc | Internal Medicine | 4206 Technology Dr, Suite 2, Modesto, CA 95356-8769 | 2013-08-22 |
| 1558665562 | Puja Anil Thakkar | Internal Medicine | 400 El Cerro Blvd #107, Golden Gate Sleep Centers, Danville, CA 94526-1731 | 2011-01-05 |
| 1770884389 | Justin A. Fu, Md A Medical Corporation | Internal Medicine | 6627 Murrietta Ct, Rancho Cucamonga, CA 91739-9556 | 2010-11-12 |
| 1073746236 | Ravindrachandrashekhar, Md Inc | Internal Medicine | 18523 Corwin Rd Ste C, Apple Valley, CA 92307-2300 | 2009-09-03 |
| 1942447453 | Institute for Sleep Medicine | Internal Medicine | 801 Orange Avenue, Suite 204, Coronado, CA 92118-2663 | 2009-01-21 |
| 1164674248 | Darya Soto Md Inc | Internal Medicine | 100 Rowland Way Ste 300, Novato, CA 94945-5041 | 2008-10-21 |
| 1386896603 | Joseph Bo-young Kim | Internal Medicine | 9961 Sierra Ave # 7, Fontana, CA 92335-6720 | 2008-10-17 |
| Find all providers with the same taxonomy | ||||
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| 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.