LISA ANNE-MARIE TENORIO (MD) – Emergency Medicine Physician, NPI 1154071348

LISA ANNE-MARIE TENORIO (MD) is a healthcare provider. based in Stockton, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. A187665 (CA). The NPI Number for LISA ANNE-MARIE TENORIO (MD) is 1154071348

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
LISA ANNE-MARIE TENORIO (MD)
NPI
1154071348
Phone
(209) 547-7146
Address
1800 N CALIFORNIA ST
Enumeration Date
28 March 2022
Last Update Date
10 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2094676556
Graduation Year
2022 (4 years ago)
PAC ID
1951832575
Group Practice PAC ID
5597679225
Professional Enrollment ID
I20241007000630
Address ID
CA952046019ST1800XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

Provider Addresses for LISA ANNE-MARIE TENORIO (MD)

  • 1800 N CALIFORNIA ST

    STOCKTON, CA 952046019

    Phone: (209) 547-7146

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241007000630IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597679225View full group profile
NameSpecialtyState
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineNC

Reviews

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Frequently asked questions

Does LISA ANNE-MARIE TENORIO (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LISA ANNE-MARIE TENORIO (MD) uses 1154071348.
Can I rely on LISA ANNE-MARIE TENORIO (MD) being an active provider?
As of the registry snapshot, LISA ANNE-MARIE TENORIO (MD) is marked active.
What taxonomy line describes LISA ANNE-MARIE TENORIO (MD)?
For research purposes, treat LISA ANNE-MARIE TENORIO (MD) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does LISA ANNE-MARIE TENORIO (MD) list a practice location?
Patients near Stockton, California may find LISA ANNE-MARIE TENORIO (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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