PATRICK LISKO
NPI 1023872777
General Practice in San Diego, CA
About Patrick Lisko NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICK LISKO (NPI 1023872777) is an individual general practice provider in San Diego, California, licensed in Virginia (0101286784) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Patrick Lisko is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92134
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Patrick Lisko's NPI number?
The NPI number for Patrick Lisko is 1023872777. It was assigned to this individual provider in the NPPES registry on February 12, 2024.
Where is Patrick Lisko located?
Patrick Lisko practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-6400.
What is Patrick Lisko's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Patrick Lisko enrolled in Medicare?
Yes. Patrick Lisko is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Patrick Lisko was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Patrick Lisko · NPI 1023872777
General Practice physician in San Diego, California. Individual provider, active in the CMS NPPES registry since February 12, 2024.
## Identity
- **NPI:** 1023872777 (Entity type: Individual)
- **Enumerated:** February 12, 2024
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 0101286784 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 34800 BOB WILSON DR, San Diego, CA 92134-1098
- **Phone:** (619) 532-6400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023872777) · Data from the CMS NPPES public registry.