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LIZAVETA NIKITSINA
NPI 1972011724
Nurse Practitioner - Family in San Diego, CA

Active since January 15, 2018
10440 BLACK MOUNTAIN RD, SAN DIEGO, CA 92126(619) 388-7881 Get Directions Write a Review

NPPES record last updated: January 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lizaveta Nikitsina NPPES

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

LIZAVETA NIKITSINA (NPI 1972011724) is an individual family provider in San Diego, California, licensed in California (95007564) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1972011724
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLIZAVETA NIKITSINA
Location Address10440 BLACK MOUNTAIN RDSan Diego, CA 92126-2910
Mailing Address600 Front St Apt 430San Diego, CA 92101-6736
Phone(619) 388-7881
Sole ProprietorNo
Enumeration DateJanuary 15, 2018
✔ NPI 1972011724 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 · 95007564
10440 BLACK MOUNTAIN RD, San Diego, CA 92126
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUSAN LYNETTE LYON NURSE PRACTITIONER
Nurse Practitioner
10440 BLACK MOUNTAIN RD, SAN DIEGO MIRAMAR COLLEGE STUDENT HEALTH SERVICES S-103
SAN DIEGO, CA 92126
San Diego County (858) 536-7881

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 Lizaveta Nikitsina's NPI number?

The NPI number for Lizaveta Nikitsina is 1972011724. It was assigned to this individual provider in the NPPES registry on January 15, 2018.

Where is Lizaveta Nikitsina located?

Lizaveta Nikitsina practices at 10440 Black Mountain Rd, San Diego, CA 92126. The listed phone number is (619) 388-7881.

What is Lizaveta Nikitsina'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 Lizaveta Nikitsina was last updated on January 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.