MEDICARE: LISA KAREN HORNBERGER M. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	G70537	CA
2	2080P0202X	Pediatric Cardiology Physician	G70537	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033287453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA KAREN HORNBERGER M. D.

Provider Business Mailing Address
First Line	:	505 PARNASSUS AVE BOX 0214
Second Line	:	UCSF MEDICAL CENTER & CHILDRENS HOSPITAL
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-0214
Country	:	US
Telephone Number	:	415-353-2002
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 PARNASSUS AVE 2ND FLOOR
Second Line	:	UCSF MEDICAL CENTER & CHILDRENS HOSPITAL
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-0214
Country	:	US
Telephone Number	:	415-353-2002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	09/11/2025

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