Healthcare Provider Details

I. General information

NPI: 1851255780
Provider Name (Legal Business Name): LISA AISHA KHAN-KAPADIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LISA KHAN ED.M.

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 STRATFORD DR
SAN FRANCISCO CA
94132-2029
US

IV. Provider business mailing address

20 STRATFORD DR
SAN FRANCISCO CA
94132-2029
US

V. Phone/Fax

Practice location:
  • Phone: 510-303-9604
  • Fax:
Mailing address:
  • Phone: 510-303-9604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: