Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lisa Diane Hisaw

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619395597

Dr. Lisa Diane Hisaw is a Dermatology in Santa Clara, California. Graduated from University of California, Irvine, California College of Medicine in 2014, 12 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Trained at
University of California, Irvine, California College of Medicine
Licensed in
CA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

710 Lawrence Expy Gme Dept 384
Santa Clara, CA 95051-5173
Phone: (408) 851-4480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A141079 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619395597
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2014
Last updated in NPPESDecember 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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