LISA VITCHAYANONDA FNP
NPI 1740371590
Nurse Practitioner - Family in Loma Linda, CA

Q: What is Lisa Vitchayanonda's NPI number?

The NPI number for Lisa Vitchayanonda is 1740371590. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Lisa Vitchayanonda's specialty?

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

Active since September 27, 2006PECOS Enrolled

11201 BENTON ST, LOMA LINDA, CA 92357(909) 825-7084(909) 777-3886 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lisa Vitchayanonda Fnp NPPES

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

LISA VITCHAYANONDA FNP (NPI 1740371590) is an individual family provider in Loma Linda, California, licensed in California (RN370120) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740371590

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA VITCHAYANONDACredential: FNP

Location Address11201 BENTON STLoma Linda, CA 92357-1000

Mailing Address1032 Mission Grove Pkwy NRiverside, CA 92506-6224 · (951) 789-9114

Phone(909) 825-7084

Fax(909) 777-3886

Sole ProprietorNo

Enumeration DateSeptember 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1740371590 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 · RN370120

11201 BENTON ST, Loma Linda, CA 92357

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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 (PECOS)

Lisa Vitchayanonda Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92357 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

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.

DR. ARTHUR CHUNG-LIUNG CHANG M.D.

Radiology (Diagnostic Radiology)

11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357

San Bernardino County (909) 825-7084

JUNGMI LEE LCSW

Social Worker (Clinical)