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

Lisa Ly Hata, MD

Individual provider Urology Physician · NPI 1225698566

Lisa Ly Hata, MD is an Urology in Santa Clara, California. Graduated from University of Michigan Medical School in 2019, 7 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Trained at
University of Michigan Medical School
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

710 Lawrence Expy Dept 448
Santa Clara, CA 95051-5173
Phone: (408) 851-4515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 196344 (CA)

Record details

NPI number1225698566
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2019
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2019 (7 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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