Larisa Faktorovich, CRNA
NPI 1104713916 · Certified Registered Nurse Anesthetist · South San Francisco, CA
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Larisa Faktorovich, CRNA is a Certified Registered Nurse Anesthetist provider in South San Francisco, CA (NPI 1104713916).
Provider details
- NPI number
- 1104713916
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sole proprietor
- No
- License
- 95002626 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-23
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Frequently asked questions
- What is Larisa Faktorovich's NPI number?
- Larisa Faktorovich's National Provider Identifier (NPI) is 1104713916, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larisa Faktorovich's specialty?
- Larisa Faktorovich is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Larisa Faktorovich located?
- Larisa Faktorovich's practice location on file with NPPES is 1200 El Camino Real, South San Francisco, CA 94080-3208.
- What is Larisa Faktorovich's phone number?
- The practice phone number listed in the NPPES registry for Larisa Faktorovich is (650) 742-2000.
- Does Larisa Faktorovich accept Medicare?
- Larisa Faktorovich is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Larisa Faktorovich's NPI active?
- Yes — Larisa Faktorovich's NPI (1104713916) is active in the NPPES registry as of the last update on 2025-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.