Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lisa Marie Ronback, MD

Individual provider Orthopaedic Surgery Physician · NPI 1790786523

Dr. Lisa Marie Ronback, MD is an Orthopedic Surgery in Jackson, California. Graduated from University of Toronto, Faculty of Medicine in 1990, 36 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
36
Trained at
University of Toronto, Faculty of Medicine
Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Mission Blvd Ste 2100
Jackson, CA 95642-2536
Phone: (209) 257-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 01045175A (IN)

Record details

NPI number1790786523
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF TORONTO, FACULTY OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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