LISA VIDATO (MD) – Anesthesiology Physician, NPI 1164535001

LISA VIDATO (MD) is a healthcare provider. based in Pasadena, California. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. G068685 (CA). The NPI Number for LISA VIDATO (MD) is 1164535001

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
LISA VIDATO (MD)
NPI
1164535001
Phone
(626) 795-6596
Address
PO BOX 60790
Enumeration Date
16 August 2006
Last Update Date
7 August 2015

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
3104772465
Graduation Year
1988 (38 years ago)
PAC ID
2567421753
Group Practice PAC ID
2466490560
Professional Enrollment ID
I20041020000665
Address ID
CA904042091SA1328XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

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Provider Addresses for LISA VIDATO (MD)

  • PO BOX 60790

    PASADENA, CA 911166790

    Phone: (626) 795-6596

    Fax: (626) 795-8247

    Type: Mailing

  • 22nd Street, Santa Monica, Los Angeles County, California, 90405, United States

    SANTA MONICA, CA 904042032

    Phone: (310) 681-9996

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $247.

Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.

Last reported payment date: 2024-06-08 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($140).

Total Amount

$247

General + Research + Ownership

Payments

4

Total payment records

General Amount

$247

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-10-20

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
I20041020000665IAnesthesiologyCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01402Anesthesia for procedure for total knee joint replacement6363$0
64448Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter4040$0
01214Anesthesia for total hip replacement3332$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)2525$0
01922Anesthesia for x-ray or radiation therapy1111$0
View full utilization report →

Insurance plans in this area (ZIP 91116)

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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: 2466490560View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCA
-CA
A N E S T H E S I O L O G YCA
-CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
-CA
Anesthesiology, Pain ManagementCA
A N E S T H E S I O L O G YCA
-CA

Reviews

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Frequently asked questions

Can I cross-check LISA VIDATO (MD) using NPI 1164535001?
NPI 1164535001 belongs to LISA VIDATO (MD); compare other details if you need extra assurance.
Active or inactive — what applies to LISA VIDATO (MD)?
You should see LISA VIDATO (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for LISA VIDATO (MD)?
At a glance, LISA VIDATO (MD) is tied to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is LISA VIDATO (MD) associated with Pasadena?
Public fields place LISA VIDATO (MD) around Pasadena, California. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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