Look up the most recent NPI and PECOS records

Lisa Marie Morikado

Emergency Medicine

Allopathic & Osteopathic Physicians

9888 Genesee Ave, La Jolla, CA 92037-1205

PECOS Enrollment

This provider is enrolled in PECOS as LISA MORIKADO.

Based on the most recent information from CMS, provider Lisa Marie Morikado is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1326072984
Provider Type
Individual
Full Name
Morikado, Lisa Marie
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/10/2006
Last Updated
7/2/2008

Contact Information

Practice Location

9888 Genesee Ave, La Jolla, CA 92037-1205

(858) 626-6150

(585) 626-7117

Mailing Location

PO Box 661687, Arcadia, CA 91066-1687

(626) 447-0296

(626) 447-6057

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License G78266 California

Provider Identifiers

ID	Description	Issuer
ID 00G782660	Description Medicaid	Issuer Unlisted California

Lisa Marie Morikado

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

La Jolla Emergency Specialists

Obler, Richard M

Neuendorf, Johannes M.

Jackier, Martin L

Tolbert, Gerald Lee

Lippi, Matthew W

Kozak, Thomas

Bianchi Medical Services Pc

Stennes, Richard Lee

Sornson, Rodney Drace