Lisa Park
Lisa Park is registered under Colorectal Surgery (Proctology) in Larkspur, California. Graduated from Albany Medical College of Union University in 2015, 11 years ago. Practices with Regents Univ of California UCSF, a 272-clinician group and offers telehealth. Licensed in California and Ohio.
- Years since qualifying
- 11
- Trained at
- Albany Medical College of Union University
- Licensed in
- CA, OH
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
5 Bon Air Rd Ste 101Larkspur, CA 94939-1134
Phone: (415) 924-2515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Colon & Rectal Surgery Physician (primary) | Taxonomy 208C00000X · Licence A168789 (CA) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence 57.027085 (OH) |
Record details
| NPI number | 1568857142 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 1, 2015 |
| Last updated in NPPES | December 3, 2021 |
| Certification date | December 3, 2021 |
Medicare enrollment
| Medicare specialty | COLORECTAL SURGERY (PROCTOLOGY) |
|---|---|
| Medical school | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduated | 2015 (11 years in practice) |
| Group practice | Regents Univ Of California Ucsf — 272 clinicians |
| Accepts Medicare assignment | Not indicated |
| Telehealth | Offers telehealth services |
Procedures
| Colonoscopy | 52 times |
|---|
Medicare patients and services, 2024
| Medicare patients | 455 |
|---|---|
| Services billed | 1,476 |
| Average patient age | 75 |
Payments from drug and device companies, 2025
| Food and Beverage | $249 |
|---|
Practises at
- Marinhealth Medical Center Hospital · Greenbrae, CA
Colleagues at Regents Univ of California UCSF
- Dr. Benedict Pm Ancock, MD Cardiovascular Disease Physician · Larkspur, CA
- Dr. Angela Bell, MD Emergency Medicine Physician · Roseville, CA
- Tina R. Desai, MD Vascular Surgery Physician · Greenbrae, CA
- Amy Gin, MD Interventional Cardiology Physician · Larkspur, CA
- Dr. Adhira Gupta, MD Family Medicine Physician · Larkspur, CA
- Dr. Vivek Iyer, MD Clinical Cardiac Electrophysiology Physician · Larkspur, CA
- Kimberly Juarez, NP Family Nurse Practitioner · Mill Valley, CA
- Stephanie Lin, MD Vascular Surgery Physician · Burlingame, CA
- MS. Louisa Linsley Munger, PA-C Physician Assistant · Novato, CA
- Dr. Kabir Jeewan Singh, MD Cardiovascular Disease Physician · Larkspur, CA
- Jessica Stuhl Clinical Social Worker · Greenbrae, CA
- MS. Alyssa Beth Thompson-Tucker, FNP Nurse Practitioner · Larkspur, CA
Other providers in Larkspur
-
Sean Kevin Maroney, MD
5 Bon Air Rd Ste 101, Larkspur, CA 94939-1134 · (415) 924-2515
-
Dr. Stephanie Jacquelyn Maroney, MD
5 Bon Air Rd Ste 101, Larkspur, CA 94939-1134 · (415) 924-2515
-
James Minnis, MD
5 Bon Air Rd Ste 101, Larkspur, CA 94939-1143 · (415) 924-2514
-
Pacific Heart Surgery
2 Bon Air Rd Ste 100, Larkspur, CA 94939 · (415) 269-0001
-
Prima Medical Foundation
5 Bon Air Rd #101, Larkspur, CA 94939-1143 · (415) 924-2515
-
Benjamin Stahl
Prima Medical Group 5 Bon Air Rd #101, Larkspur, CA 94939 · (415) 924-2515