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

Larisa Kononov, ADMINISTRATOR

Individual provider Contractor · NPI 1760916811

Larisa Kononov, ADMINISTRATOR is a Contractor in North Highlands, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

3620 Winona Way
North Highlands, CA 95660-5636
Phone: (916) 628-9097
Fax: (916) 568-9752
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 347003494 (CA)

Record details

NPI number1760916811
Entity typeIndividual (Type 1)
GenderFemale
Credentials ADMINISTRATOR
Sole proprietorYes
NPI enumeratedApril 16, 2017
Last updated in NPPESApril 16, 2017