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

Lisa Laraine Stafford, NP

Individual provider Family Nurse Practitioner · NPI 1144779497

Lisa Laraine Stafford, NP is a Nurse Practitioner in Santa Rosa, California. Qualified in 2016, 10 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

34 Mark West Springs Rd Fl 3
Santa Rosa, CA 95403
Phone: (707) 573-5240
Fax: (707) 573-5416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 250 Locust St, Santa Cruz, CA 95060-3813 — (831) 427-3500

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2016013940 (CA)

Record details

NPI number1144779497
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 28, 2016
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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