LISA BODZIO PA-C
NPI 1356548069
Physician Assistant - Surgical in Fontana, CA

Active since June 27, 2007PECOS EnrolledAccepts Medicare Assignment
9985 SIERRA AVE, FONTANA, CA 92335(909) 427-5000 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Bodzio Pa-c NPPES

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

LISA BODZIO PA-C (NPI 1356548069) is an individual surgical provider in Fontana, California, licensed in California (PA 18410) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Cayuga Medical Center At Ithaca, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1356548069
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLISA BODZIOCredential: PA-C
Location Address9985 SIERRA AVEFontana, CA 92335-6720
Mailing Address9985 Sierra Ave Bldg 3, General Surgery Dept., 3rd FloorFontana, CA 92335-6720
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 27, 2007
Last NPPES UpdateNovember 29, 2021
NPI 1356548069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA 18410
9985 SIERRA AVE, Fontana, CA 92335

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lisa Bodzio Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325228364
PECOS Enrollment IDI20250307002864
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cayuga Medical Center At Ithaca

Acute Care Hospitals · Ithaca, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330307
Location101 Dates DriveIthaca, NY 14850 · Tompkins County
Emergency services Birthing friendly

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.

Internal Medicine (Cardiovascular Disease)
9985 SIERRA AVE
FONTANA, CA 92335
Internal Medicine (Cardiovascular Disease)
9985 SIERRA AVE
FONTANA, CA 92335
Plastic Surgery
9985 SIERRA AVE
FONTANA, CA 92335
Psychiatry & Neurology (Neurology)
9985 SIERRA AVE, MOB-2, BASEMENT
FONTANA, CA 92335
Internal Medicine
9985 SIERRA AVE
FONTANA, CA 92335
Physical Therapy Assistant
9985 SIERRA AVE
FONTANA, CA 92335
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
9985 SIERRA AVE
FONTANA, CA 92335
Occupational Therapist
9985 SIERRA AVE
FONTANA, CA 92335

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 Bodzio's NPI number?

The NPI number for Lisa Bodzio is 1356548069. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Lisa Bodzio located?

Lisa Bodzio practices at 9985 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 427-5000.

What is Lisa Bodzio's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Lisa Bodzio enrolled in Medicare?

Yes. Lisa Bodzio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lisa Bodzio affiliated with any hospitals?

According to CMS data, Lisa Bodzio is affiliated with Cayuga Medical Center At Ithaca.

When was this NPI record last updated?

The NPPES record for Lisa Bodzio was last updated on November 29, 2021. 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.