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

Lisa Ditsheko Weaver, MD

Individual provider Family Medicine Physician · NPI 1700345584

Lisa Ditsheko Weaver, MD is a Family Practice in San Diego, California. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2019, 7 years ago. Practices with Family Health Centers of San Diego Inc, a 297-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
CA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1809 National Ave
San Diego, CA 92113-2113
Phone: (619) 515-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A180077 (CA)

Record details

NPI number1700345584
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 19, 2019
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Family Health Centers Of San Diego Inc — 297 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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