LISA ROSEMARY FAZZOLARI DO
NPI 1679793269
Psychiatry & Neurology - Psychiatry in Pleasanton, CA

Q: What is Lisa Fazzolari's NPI number?

The NPI number for Lisa Fazzolari is 1679793269. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Q: What is Lisa Fazzolari's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Fazzolari was last updated on February 11, 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.

Active since April 26, 2007PECOS EnrolledAccepts Medicare Assignment

5674 STONERIDGE DR, SUITE 116, PLEASANTON, CA 94588(925) 520-0005 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Rosemary Fazzolari Do NPPES

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

LISA ROSEMARY FAZZOLARI DO (NPI 1679793269) is an individual psychiatry provider in Pleasanton, California, licensed in California (20A8371) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (1991).

NPPES Registry Identity

NPI1679793269

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameLISA ROSEMARY FAZZOLARICredential: DO

Location Address5674 STONERIDGE DR, SUITE 116Pleasanton, CA 94588-8500

Mailing Address5674 Stoneridge Dr, Suite 116Pleasanton, CA 94588-8500 · (925) 520-0005

Phone(925) 520-0005

Sole ProprietorYes

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1991

Enumeration DateApril 26, 2007

Last NPPES UpdateFebruary 11, 2022

✔ NPI 1679793269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · 20A8371

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

5674 STONERIDGE DR, Pleasanton, CA 94588

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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 Rosemary Fazzolari Do 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 ID3678556339

PECOS Enrollment IDI20040611001296

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94588 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ALEJANDRA GUERRERO

Counselor

5674 STONERIDGE DR, STE 116
PLEASANTON, CA 94588

Alameda County (925) 520-0005

HIAWATHA HARRIS, M.D., INC.

Psychologist

5674 STONERIDGE DR, SUITE 205
PLEASANTON, CA 94588

Alameda County (925) 520-0005

ERIN FREY

Counselor

5674 STONERIDGE DR, 116
PLEASANTON, CA 94588

Alameda County (925) 520-0005

LIZYKUTTY THOMAS

Registered Nurse

5674 STONERIDGE DR
PLEASANTON, CA 94588

Alameda County (925) 520-0005

TANIKKA WILLIAMS

Counselor

5674 STONERIDGE DR, 207
PLEASANTON, CA 94588

Alameda County (925) 520-0005

ELENA SIOW R.N.

Registered Nurse (Psychiatric/Mental Health)

5674 STONERIDGE DR
PLEASANTON, CA 94588

Alameda County (925) 520-0005

KRISTINA ANTAKI

Counselor

5674 STONERIDGE DR, # 116
PLEASANTON, CA 94588

Alameda County (925) 520-0005

LANE SMITH

Marriage & Family Therapist

5674 STONERIDGE DR, SUITE 205
PLEASANTON, CA 94588

Alameda County (925) 520-0005

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 Fazzolari's NPI number?

The NPI number for Lisa Fazzolari is 1679793269. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Lisa Fazzolari located?

Lisa Fazzolari practices at 5674 Stoneridge Dr Suite 116, Pleasanton, CA 94588. The listed phone number is (925) 520-0005.

What is Lisa Fazzolari's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Lisa Fazzolari enrolled in Medicare?

Yes. Lisa Fazzolari 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.

When was this NPI record last updated?

The NPPES record for Lisa Fazzolari was last updated on February 11, 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.