Lisa Anne Paradiso, RDN, PA-C is a medicare enrolled "Physician Assistant - Medical" provider in Fullerton, California. Her current practice location is
2575 Yorba Linda Blvd, Fullerton, California. You can reach out to her office (for appointments etc.) via phone at
(714) 791-7169.
Lisa Anne Paradiso is licensed to practice in * (Not Available) (license number 1202357) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710508270.
Healthcare Provider's Profile
Full Name | Lisa Anne Paradiso |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 2575 Yorba Linda Blvd, Fullerton, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710508270
- Provider Enumeration Date: 05/06/2020
- Last Update Date: 12/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 1759744436
- Enrollment ID: I20230829000463
Medical Identifiers
Medical identifiers for Lisa Anne Paradiso such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710508270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 86026279 (* (Not Available)) | Secondary |
363AM0700X | Physician Assistant - Medical | 1202357 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Anne Paradiso is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Anne Paradiso, RDN, PA-C 16722 Robert Ln, Huntington Beach, CA 92647-4243 Ph: (714) 791-7169 | Lisa Anne Paradiso, RDN, PA-C 2575 Yorba Linda Blvd, Fullerton, CA 92831-1615 Ph: (714) 791-7169 |
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