Verna S Liss (NPI# 1093708174, PAC ID# 8123185683) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1093708174 |
| PAC ID by PECOS | 8123185683 |
| Professional Enrollment ID | I20090327000167 |
| Full Name | Verna S Liss |
| Organization Legal Name | LAKESIDE MEDICAL ORGANIZATION, A MEDICAL GROUP INC. |
| Address |
612 E Janss Rd Thousand Oaks CA 91360-5113 |
| Phone Number | 8053730725 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 7618005166 |
| Number of Group Practice Members | 86 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 612 E Janss Rd, Thousand Oaks, CA 91360-5113 | 8053730725 | LAKESIDE MEDICAL ORGANIZATION, A MEDICAL GROUP INC. |
| Organization Legal Name | LAKESIDE MEDICAL ORGANIZATION, A MEDICAL GROUP INC. |
| Physicians | 109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liza Mae E Ocampo | Nurse Practitioner | Lakeside Medical Organization, A Medical Group Inc. | 1500 W W Covina Pkwy, West Covina, CA 91790-2708 |
| Lia H Yoon | Nurse Practitioner | Lakeside Medical Organization, A Medical Group Inc. | 12660 Riverside, Suite 320, North Hollywood, CA 91607-3429 |
| Panny Pang | Physical Therapy | Lakeside Medical Organization, A Medical Group Inc. | 101 S 1st St, Suite 1800, Burbank, CA 91502-1959 |
| Denise L Hom | Family Medicine | Lakeside Medical Organization, A Medical Group Inc. | 7325 Medical Ctr Dr, Suite 300, West Hills, CA 91307-4117 |
| Debra L Hilburn | Nurse Practitioner | Lakeside Medical Organization, A Medical Group Inc. | 8510 Balboa Blvd, Suite 150, Northridge, CA 91325-5810 |
| Carmen S Slavov | Internal Medicine | Lakeside Medical Organization, A Medical Group Inc. | 14901 Rinaldi St, Suite 200 201, Mission Hills, CA 91345-1204 |
| Diana Dermendjian | Family Medicine | Lakeside Medical Organization, A Medical Group Inc. | 191 S Buena Vista St, Suite 200 and 240, Burbank, CA 91505-4542 |
| Frederick O Galloway | Physician Assistant | Lakeside Medical Organization, A Medical Group Inc. | 191 S Buena Vista St, Suite 150, Burbank, CA 91505-4522 |
| Jose Mari M Esparrago | Internal Medicine | Lakeside Medical Organization, A Medical Group Inc. | 14901 Rinaldi St, Suite 200 201, Mission Hills, CA 91345-1204 |
| Charlotte Ling Chien Hu | Physician Assistant | Lakeside Medical Organization, A Medical Group Inc. | 7325 Medical Ctr Dr, Suite 300, West Hills, CA 91307-4117 |
| Street Address |
612 E JANSS RD |
| City | THOUSAND OAKS |
| State | CA |
| Zip | 91360-5113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine M Phillips | Physician Assistant | Lakeside Medical Organization, A Medical Group Inc. | 612 E Janss Rd, Thousand Oaks, CA 91360-5113 |
| Frederick Lindberg | Family Medicine | Lakeside Medical Organization, A Medical Group Inc. | 612 E Janss Rd, Thousand Oaks, CA 91360-5113 |
| Deepa K Reddy | Family Medicine | Lakeside Medical Organization, A Medical Group Inc. | 612 E Janss Rd, Thousand Oaks, CA 91360-5113 |
| Kumar S Gandhi | Internal Medicine | Lakeside Medical Organization, A Medical Group Inc. | 612 E Janss Rd, Thousand Oaks, CA 91360-5113 |
| Sherri R Tysch | Pediatric Medicine | Lakeside Medical Organization, A Medical Group Inc. | 612 E Janss Rd, Thousand Oaks, CA 91360-5113 |
| Bennett Lee | Family Practice | Lakeside Medical Organization, A Medical Group Inc. | 612 E Janss Rd, Thousand Oaks, CA 91360-5113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald A Popper | Sleep Medicine | 2230 Lynn Rd, Suite 101, Thousand Oaks, CA 91360-1360 | |
| Mark D Suski | Plastic and Reconstructive Surgery | 227 W Janss Rd, Suite 205, Thousand Oaks, CA 91360-1827 | |
| Brian Truong | Emergency Medicine | Los Robles Emergency Physicians Medical Group | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| William L Matzner | Internal Medicine | Orion Medical Group | 215 W Janns Rd, Thousand Oaks, CA 91360-1847 |
| Catherine A Moses | Diagnostic Radiology | Los Robles Radiologic Associates | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Rashita Aggarwal | Internal Medicine | Allure Medical Group A Professional Corporation | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Andrew Cannon | Anesthesiology | Conejo Los Robles Anesthesiology Medical Group, Inc | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Pejman Badiei | Internal Medicine | Allure Medical Group A Professional Corporation | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Barry D Klein | Diagnostic Radiology | Los Robles Radiologic Associates | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Matthew P Beatty | Emergency Medicine | Los Robles Emergency Physicians Medical Group | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Find all physicians in zip 91360 | |||
| City | THOUSAND OAKS |
| Zip Code | 91360 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | THOUSAND OAKS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Verna S Liss.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.