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DR LISA SHIVES MD PC NPI 1508215773


NPI Information

NPI: 1508215773
Provider Name: DR LISA SHIVES, MD, PC

Doing Business As: LISA SHIVES MD SLEEP SOLUTIONS

Classification: Internal Medicine - 207RS0012X
Entity Type: Organization

Specialization: Sleep Medicine

Address:
1853 LYNDON RD
SAN DIEGO, CA
ZIP 92103
Phone: (773) 914-4961
Get Directions

DR LISA SHIVES, MD, PC is a sleep medicine internal medicine in San Diego, CA. The provider is 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. DR LISA SHIVES, MD, PC NPI is 1508215773. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lisa Shives Md Sleep Solutions.

The provider's business location address is:

1853 LYNDON RD
SAN DIEGO, CA
ZIP 92103-644
Phone: (773) 914-4961

The provider's authorized official is Lisa Jo Shives .
The authorized official title is President and has the following contact phone number (773) 914-4961.

The enumeration date for this NPI number is 6/8/2016 and was last updated on 10/7/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RS0012XInternal MedicineSleep MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11740322825OTHERILLINOISNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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