LISA PHETCHAMPHONE
NPI 1164167136
Licensed Vocational Nurse in Ceres, CA

Q: What is Lisa Phetchamphone's NPI number?

The NPI number for Lisa Phetchamphone is 1164167136. It was assigned to this individual provider in the NPPES registry on May 3, 2022.

Q: What is Lisa Phetchamphone's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Active since May 03, 2022

1768 MITCHELL RD, CERES, CA 95307(209) 353-4838 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Phetchamphone NPPES

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

LISA PHETCHAMPHONE (NPI 1164167136) is an individual licensed vocational nurse in Ceres, California, licensed in California (713585) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1164167136

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameLISA PHETCHAMPHONE

Location Address1768 MITCHELL RDCeres, CA 95307-2156

Mailing Address1768 Mitchell RdCeres, CA 95307-2156 · (209) 353-4838

Phone(209) 353-4838

Sole ProprietorNo

Enumeration DateMay 3, 2022

NPPES CertifiedMay 3, 2022

✔ NPI 1164167136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 713585

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

1768 MITCHELL RD, Ceres, CA 95307

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONIQUEA LONETTA SCOTT LVN

Licensed Vocational Nurse

1768 MITCHELL RD
CERES, CA 95307

Stanislaus County (209) 353-4838

TOWER PHYSICAL THERAPY, INC

Physical Therapist

1768 MITCHELL RD, SUITE 305
CERES, CA 95307

Stanislaus County (209) 216-3360

JASMEEN AULAKH LVN

Licensed Vocational Nurse

1768 MITCHELL RD
CERES, CA 95307

Stanislaus County (209) 353-4838

YOSSELIN SINGH

Licensed Vocational Nurse

1768 MITCHELL RD
CERES, CA 95307

Stanislaus County (209) 353-4838

SNEZHANNA SHOR LVN

Licensed Vocational Nurse

1768 MITCHELL RD
CERES, CA 95307

Stanislaus County (209) 353-4838

BRUCE A. LUTES DC

Chiropractor

1768 MITCHELL RD, STE303
CERES, CA 95307

Stanislaus County (209) 538-4500

TOTAL RENAL CARE INC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

1768 MITCHELL RD, STE 308
CERES, CA 95307

Stanislaus County (209) 538-9853

JOSE ALFREDO AREVALOS JR.

Counselor (Addiction (Substance Use Disorder))

1768 MITCHELL RD
CERES, CA 95307

Stanislaus County (209) 353-4838

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 Phetchamphone's NPI number?

The NPI number for Lisa Phetchamphone is 1164167136. It was assigned to this individual provider in the NPPES registry on May 3, 2022.

Where is Lisa Phetchamphone located?

Lisa Phetchamphone practices at 1768 Mitchell Rd, Ceres, CA 95307. The listed phone number is (209) 353-4838.

What is Lisa Phetchamphone's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Lisa Phetchamphone was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.