IndividualActive
Larisa Lysak
NPI 1700967908 · Family Nurse Practitioner · North Highlands, CA
Provider details
- NPI number
- 1700967908
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 16740 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
4815 Watt Ave
North Highlands, CA 95660-5108
Phone: (855) 354-2242
Street-level locationGet directions
Mailing address
1860 Howe Ave Ste 440
Sacramento, CA 95825-1098
Additional practice locations (1)
- 8100 Timberlake Way Ste aSacramento, CA 95823-5409Phone: (916) 681-2539Fax: (916) 681-2469
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2020-09-16
- Certified
- 2020-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.