Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA JO SHIVES, M.D.
Active Sole ProprietorDR. LISA JO SHIVES, M.D. is a Sports Medicine (IM) healthcare provider located in SAN DIEGO, California. NPI 1740322825 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · SAN DIEGO, CA
Registration Details
- NPI Number
- 1740322825
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2007 (19.510079158401 yrs)
- Last Updated
- Dec 4, 2020
- License
-
C131956 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1853 LYNDON RDSAN DIEGO, CA, 921031644Browse CA providers · Browse ZIP 92103
- Phone
- 6199447532
- Fax
- 6195664432
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
Other Sports Medicine (IM) Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ATUL MALHOTRA | MD | 1982695169 |
| DR. ROBERT LLEWELLYN OWENS | MD | 1972589265 |
| DR. LAWRENCE KLINE | D.O. | 1730140278 |
| DR. JOSE S LOREDO | M.D. | 1891728531 |
| DR. RENATA SHAFOR | M.D. | 1952441396 |
| OMAR MESARWI | MD | 1245430032 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.