Dr. Lisa Fortes, ND, DTCM
Naturopath in San Jose, CA. Individual provider (NPI-1).
NPI number1043867005
StatusActive
Last updated in NPPESJun 10, 2026
Details
- NPI
- 1043867005
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lisa Fortes
- Credential
- ND, DTCM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2019
- Certification date
- Jun 10, 2026
- Last updated
- Jun 10, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175F00000X | Naturopath | ND1025 | CA | Yes |
Practice location
3535 Ross Ave Ste 101San Jose, CA 95124-3038
Phone 831-783-5983 · Fax 844-740-0003
Mailing address
7722b Se 64th AvePortland, OR 97206-9669
Phone 831-783-5983
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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