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

Lise Phan, MD

Individual provider Neurology Physician · NPI 1487031100

Lise Phan, MD is a Neurology in Arcadia, California. Qualified in 2015, 11 years ago. Practices with Northbay Physicians Surgery Center, LLC, a 337-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Colorado, Montana and North Carolina.

Years since qualifying
11
Licensed in
CA, CO, MT, NC
In the registry since
2015
Specialties on file
5
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

1015 N 1st Ave Ste B
Arcadia, CA 91006
Phone: (626) 598-3770
Fax: (626) 598-3770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 777 Bannock St, Denver, CO 80204-4597 — (303) 436-4949
  • 601 W Spruce St Ste J, Missoula, MT 59802-4047 — (406) 327-3350
  • 3000 New Bern Ave, Raleigh, NC 27610-1231 — (919) 350-8000

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence DR.0064212 (CO)
Neurology Physician Taxonomy 2084N0400X · Licence MED-PHYS-LIC-85782 (MT)
Neurology Physician Taxonomy 2084N0400X · Licence A147823 (CA)
Neurology Physician Taxonomy 2084N0400X · Licence 2025-00021 (NC)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence A147823 (CA)

Record details

NPI number1487031100
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2015
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address1015 N 1st Ave, Suite B, Arcadia, CA 91006

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Northbay Physicians Surgery Center, Llc — 337 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Arcadia