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MRS. LARISA ANATOLYEVNA LYSAK
NPI 1700967908
Nurse Practitioner - Family in North Highlands, CA

Active since October 17, 2006
4815 WATT AVE, NORTH HIGHLANDS, CA 95660(855) 354-2242 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Larisa Anatolyevna Lysak NPPES

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

MRS. LARISA ANATOLYEVNA LYSAK (NPI 1700967908) is an individual family provider in North Highlands, California, licensed in California (16740) and active in the NPI registry since October 2006. She maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1700967908
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LARISA ANATOLYEVNA LYSAK
Location Address4815 WATT AVENorth Highlands, CA 95660-5108
Mailing Address1860 Howe Ave Ste 440Sacramento, CA 95825-1098 · (916) 569-8484
Phone(855) 354-2242
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateSeptember 16, 2020
NPPES CertifiedSeptember 16, 2020
✔ NPI 1700967908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 16740
4815 WATT AVE, North Highlands, CA 95660
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Secondary Practice Location 1

Location 18100 Timberlake Way Ste ASacramento, CA 95823-5409 · Phone (916) 681-2539 · Fax (916) 681-2469

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.

SUNNIE LEE SKILES MD
Pediatrics
4815 WATT AVE
NORTH HIGHLANDS, CA 95660
Sacramento County (916) 454-2345
CLEO MARIE BAILEY DDS
Dentist (General Practice)
4815 WATT AVE
NORTH HIGHLANDS, CA 95660
Sacramento County (916) 454-2345
SUKHWINDER SINGH DHALL
Dentist (General Practice)
4815 WATT AVE
NORTH HIGHLANDS, CA 95660
Sacramento County (916) 454-2345
DR. TONI CECILIA MOODY M.D.
Pediatrics
4815 WATT AVE
NORTH HIGHLANDS, CA 95660
Sacramento County (916) 454-2345
DR. FARZANEH MOHAMMADI M.D.
Internal Medicine
4815 WATT AVE
NORTH HIGHLANDS, CA 95660
Sacramento County (916) 454-2345
JENNIFER JILL HOM DMD
Dentist
4815 WATT AVE
NORTH HIGHLANDS, CA 95660
Sacramento County (916) 454-2345
MR. QUOC CHRISTOPHER NGUYEN DDS
Dentist (General Practice)
4815 WATT AVE
NORTH HIGHLANDS, CA 95660
Sacramento County (916) 454-2345
PATRICE FARQUHARSON PA-C
Physician Assistant
4815 WATT AVE
NORTH HIGHLANDS, CA 95660
Sacramento County (916) 569-8484

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 Larisa Lysak's NPI number?

The NPI number for Larisa Lysak is 1700967908. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Larisa Lysak located?

Larisa Lysak practices at 4815 Watt Ave, North Highlands, CA 95660. The listed phone number is (855) 354-2242.

What is Larisa Lysak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Larisa Lysak was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.