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

Lilly Pakawongse, RN, MSN, CPNP-PC

Individual provider Registered Nurse · NPI 1366952020

Lilly Pakawongse, RN, MSN, CPNP-PC is a Nurse Practitioner in Richmond, California. Qualified in 2017, 9 years ago. Practices with UCSF Pediatrics Associates, a 107-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

2970 Hilltop Mall Rd Ste 305
Richmond, CA 94806-5274
Phone: (510) 222-5437
Fax: (510) 222-5487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 95007505 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95066338 (CA)

Record details

NPI number1366952020
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , MSN , CPNP-PC
Sole proprietorNo
NPI enumeratedOctober 9, 2017
Last updated in NPPESJanuary 11, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ucsf Pediatrics Associates — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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