Aaron Lisberg
Internal Medicine (Hematology & Oncology)

Address: 200 Medical Plaza Suite 365 420 120, Los Angeles, CA 90095-2420
Phone: 3107941276

Aaron Lisberg (NPI# 1043509797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1043509797
Entity Type Individual
Full Name Aaron Lisberg
Credential MD
Gender Male
Practice Address 200 Medical Plaza Suite 365 420 120
Los Angeles
CA 90095-2420
Practice Telephone 3107941276
Mailing Address 325 9th Ave
Box 359895
Seattle
WA 98104-2420
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2011-04-04
Last Update Date 2017-07-25

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RH0003X Internal Medicine · Hematology & Oncology Allopathic & Osteopathic Physicians A131055 CA

Physician Overview

NPI 1043509797
PAC ID by PECOS 5698043131
Professional Enrollment ID I20170626000023
Full Name Aaron E Lisberg
Organization Legal Name UC REGENTS
Phone Number 3104582381
Gender M
Medical School UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year 2011
Primary Specialty HEMATOLOGY/ONCOLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 1355248584
Number of Group Practice Members 824
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050262 RONALD REAGAN U C L A MEDICAL CENTER
050112 SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL

Office Location

Street Address 200 MEDICAL PLAZA SUITE 365 420 120
City LOS ANGELES
State CA
Zip Code 90095-2420

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942599915 Kelly Elizabeth Mccann Internal Medicine 200 Medical Plaza Suite 365 420 120, Los Angeles, CA 90095-3011 2011-03-30
1942611785 Bryan Lopez Internal Medicine 200 Medical Plaza Suite 365 420 120, Los Angeles, CA 90095-1437 2014-05-14
1588074371 Payam Brian Bokhoor Internal Medicine 200 Medical Plaza Suite 365 420 120, Los Angeles, CA 90095-1804 2014-05-01
1497174957 Rong Hu Internal Medicine 200 Medical Plaza Suite 365 420 120, Los Angeles, CA 90095-1376 2014-04-14
1972920825 Tina Patel Kapadia Internal Medicine 200 Medical Plaza Suite 365 420 120, Los Angeles, CA 90095-3804 2014-03-27
1891055349 Aleksey Korolyov Internal Medicine 200 Medical Plaza Suite 365 420 120, Los Angeles, CA 90095-2200 2012-05-17
1407113616 Rachael Oxman Internal Medicine 200 Medical Plaza Suite 365 420 120, Los Angeles, CA 90095-2734 2012-04-12
1699040782 Ami Thakor Philipp Allergy & Immunology 200 Medical Plaza Suite 365 420 120, Los Angeles, CA 90095-0001 2012-03-21
1871868059 Daniel Michael Karlin Internal Medicine 200 Medical Plaza Suite 365 420 120, Los Angeles, CA 90095-2513 2012-03-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619438173 Brandon Covington Smith Student in an Organized Health Care Education/Training Program 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 2019-03-27
1790266369 Dana Saifan Student in an Organized Health Care Education/Training Program 1000 Veteran Avenue, Los Angeles, CA 90095 2018-08-22
1730675299 Chloe Meyer Student in an Organized Health Care Education/Training Program 714 Tiverton Ave, Chs 20-137, Los Angeles, CA 90095 2018-07-09
1952894487 Tony Chan Optometrist 200 Stein Plaza Ds-124, Los Angeles, CA 90095 2018-06-09
1932605094 Akash Atul Shah Student in an Organized Health Care Education/Training Program Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 2018-04-05
1316443435 Dane Jensen Brodke Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 2018-04-05
1477058824 Thomas William Gaither Castellanos Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Urology, Los Angeles, CA 90095 2018-03-28
1720583560 Shire Lynn Beach Student in an Organized Health Care Education/Training Program Ucla Medicine Education Office, Rrucla Medical Center, 757 Westwood Plaza, Suite 7501, Los Angeles, CA 90095 2018-03-26
1619471661 Abigail Rose Olson Arons Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Medicine-pediatrics, Los Angeles, CA 90095 2018-03-22
1184128688 Nima Moaven Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave Fl 2, Los Angeles, CA 90095 2018-03-20
Find all providers in zip 90095

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861917593 Namphuong Tran Internal Medicine 10990 Wilshire Blvd Ste 300, Los Angeles, CA 90024-3937 2017-08-03
1083137947 Julie Smith Internal Medicine 200 Medical Plaza Dr, Los Angeles, CA 90095-2708 2017-07-24
1942599915 Kelly Elizabeth Mccann Internal Medicine 200 Medical Plaza Suite 365 420 120, Los Angeles, CA 90095-3011 2011-03-30
1184920944 Rodolfo Gutierrez Internal Medicine 11800 Wilshire Blvd Ste 300, Los Angeles, CA 90025-6602 2011-01-26
1669604849 George Yaghmour Internal Medicine 1441 E Lake Ave, Division of Hematology and Bmt, Los Angeles, CA 90089-0112 2009-08-20
1902934607 Herbert I. Rappaport, M.d., A Professional Corporation Internal Medicine 158 N Anita Ave, Los Angeles, CA 90049-2720 2007-03-02
1528150562 Nassir Medical Corporation Internal Medicine 5901 W Olympic Blvd Ste 505, Los Angeles, CA 90036-4670 2006-09-28
1548361413 Hao Wei Zhang M.d., Inc. Internal Medicine 1700 E Cesar E Chavez Ave Ste 2600, Los Angeles, CA 90033-2434 2006-09-25
1962509216 Robert Allen Vescio Internal Medicine Cedars-sinai Medical Center 8700 Beverly Boulevard, C-2000, Los Angeles, CA 90048-1804 2006-09-20
1235140468 Richard E. Gould, M.d., A Professional Medical Corporation Internal Medicine 8700 Beverly Blvd. Ac-1110, Cedars-sinai Comprehensive Cancer Center, Los Angeles, CA 90048 2006-08-11
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90095

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Dataset Information

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.

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