LISA VITTAYARUKSKUL
NPI 1851031363
Family Medicine in Beverly Hills, CA

Q: What is Lisa Vittayarukskul's NPI number?

The NPI number for Lisa Vittayarukskul is 1851031363. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Q: What is Lisa Vittayarukskul's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 31, 2022PECOS EnrolledAccepts Medicare Assignment

8767 WILSHIRE BLVD FL 2, BEVERLY HILLS, CA 90211(424) 314-5173 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Vittayarukskul NPPES

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

LISA VITTAYARUKSKUL (NPI 1851031363) is an individual family medicine provider in Beverly Hills, California, licensed in California (A200975) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Colton, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1851031363

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLISA VITTAYARUKSKUL

Location Address8767 WILSHIRE BLVD FL 2Beverly Hills, CA 90211-2714

Mailing Address4140 W 190th StTorrance, CA 90504-5513

Phone(424) 314-5173

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 31, 2022

Last NPPES UpdateAugust 1, 2025

NPPES CertifiedAugust 1, 2025

✔ NPI 1851031363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A200975

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

8767 WILSHIRE BLVD FL 2, Beverly Hills, CA 90211

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Secondary Practice Location 1

Location 1400 N Pepper AveColton, CA 92324-1801 · Phone (626) 374-5773

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 Vittayarukskul 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 ID1254832959

PECOS Enrollment IDI20250902004101

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 90211 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

MS. CAROL L LEYNES PA-C

Physician Assistant