LISA ODA (NPI# 1154652543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154652543 |
| Entity Type | Individual |
| Full Name | LISA ODA |
| Credential | RN, MSN, CPNP |
| Practice Address |
12820 Pioneer Blvd Norwalk CA 90650-2875 |
| Mailing Address |
1110 N Calera Ave Covina CA 91722-2822 |
| Practice Telephone | 5628680431 |
| Practice Fax Number | 5628681297 |
| Mailing Telephone | 6269153303 |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
563201 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12820 PIONEER BLVD |
| City | NORWALK |
| State | CA |
| Zip Code | 90650-2875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679536262 | Norwalk-la Mirada Usd | Local Education Agency (LEA) | 12820 Pioneer Blvd, Norwalk, CA 90650-2875 | 2006-04-06 |
| 1740837590 | Nancy Jean Ellis | Registered Nurse | 12820 Pioneer Blvd, Norwalk, CA 90650-2875 | 2019-08-26 |
| 1124172994 | Veronica Torres | Nurse Practitioner | 12820 Pioneer Blvd, Norwalk, CA 90650-2875 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386812238 | Jill C Goldberg | Nurse Practitioner | 1 Bonnybrook Rd, Norwalk, CT 06850-2703 | 2008-02-13 |
| 1861691644 | Therese Francesca Gardere | Nurse Practitioner | 747 Belden Ave, Norwalk, CT 06850-3348 | 2007-07-12 |
| 1568672384 | Hilary Gillespie Hadden | Nurse Practitioner | 149 East Ave Ste 39, Norwalk, CT 06851-5711 | 2007-05-23 |
| 1659598092 | Carol Ann Williams | Nurse Practitioner | 282 Benedict Ave Ste B, Norwalk, OH 44857-2712 | 2007-04-19 |
| 1841786878 | Blair E Mayfield | Nurse Practitioner | 282 Benedict Ave Ste B, Norwalk, OH 44857-2712 | 2018-07-02 |
| 1083106793 | Christine Nicole Mayer | Nurse Practitioner | 282 Benedict Ave Ste B, Norwalk, OH 44857-2712 | 2018-05-30 |
| 1750800025 | Evalyn Freida Sisson | Nurse Practitioner | 282 Benedict Ave Ste B, Norwalk, OH 44857-2712 | 2017-09-18 |
| 1922544055 | Kathryn Falter | Nurse Practitioner | 282 Benedict Ave Ste B, Norwalk, OH 44857-2712 | 2017-01-12 |
| 1215380423 | Addie Shock | Nurse Practitioner | 282 Benedict Ave Ste B, Norwalk, OH 44857-2712 | 2016-07-22 |
| 1649653304 | Ashley Brooke Mcgrain | Nurse Practitioner | 282 Benedict Ave Ste B, Norwalk, OH 44857-2712 | 2015-06-30 |
| Find all providers in NORWALK | ||||
Please comment or provide details below to improve the information on LISA ODA.
| 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.