Individual Healthcare Provider
Lise Phan, MD
Provider's NPPES record last updated: May 21, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1487031100
- Primary Specialty
- Psychiatry & Neurology — Neurology
- Practice Location
- Arcadia, California
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 7:54 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Psychiatry & Neurology
Neurology
Allopathic & Osteopathic Physicians
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Taxonomy code 2084N0400X Psychiatry & Neurology
Clinical Neurophysiology
Allopathic & Osteopathic Physicians
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Taxonomy code 2084N0600X
Provider-Reported License Information
- Psychiatry & Neurology (Colorado)
- DR.0064212
- Psychiatry & Neurology (Montana)
- MED-PHYS-LIC-85782
- Psychiatry & Neurology (California)
- A147823
- Psychiatry & Neurology (North Carolina)
- 2025-00021
- Psychiatry & Neurology (California)
- A147823
Practice Locations
Practice Location
1015 N 1st Ave
Suite B
Arcadia, California 91006
Phone: (626) 598-3770
Additional Practice Location
601 W Spruce St Ste J
Missoula, Montana 59802-4047
Phone: (406) 327-3350
Fax: (406) 327-3355
Additional Practice Location
777 Bannock St
Denver, Colorado 80204-4597
Phone: (303) 436-4949
Fax: (303) 602-6190
Additional Practice Location
3000 New Bern Ave
Raleigh, North Carolina 27610-1231
Phone: (919) 350-8000
Record Information
- Enumeration Date
- May 1, 2015
- Provider's NPPES Record Last Updated
- May 21, 2025
- Certification Date
- May 21, 2025
- NPISignal NPPES Dataset
- August 2026
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