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LISA S DERITA FNP
NPI 1033803408
Nurse Practitioner - Primary Care in Brentwood, CA

Active since June 07, 2023
1280 CENTRAL BLVD STE J5, BRENTWOOD, CA 94513(925) 250-2908 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa S Derita Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA S DERITA FNP (NPI 1033803408) is an individual primary care provider in Brentwood, California, licensed in California (95025065) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1033803408
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLISA S DERITACredential: FNP
Location Address1280 CENTRAL BLVD STE J5Brentwood, CA 94513-2362
Mailing Address4549 Lariat LnOakley, CA 94561-1718 · (925) 250-2908
Phone(925) 250-2908
Sole ProprietorNo
Enumeration DateJune 7, 2023
NPPES CertifiedJune 7, 2023
✔ NPI 1033803408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95025065
1280 CENTRAL BLVD STE J5, Brentwood, CA 94513
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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 Lisa Derita's NPI number?

The NPI number for Lisa Derita is 1033803408. It was assigned to this individual provider in the NPPES registry on June 7, 2023.

Where is Lisa Derita located?

Lisa Derita practices at 1280 Central Blvd Ste J5, Brentwood, CA 94513. The listed phone number is (925) 250-2908.

What is Lisa Derita's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Lisa Derita was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.