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

Lisa Liane Dimodica, PA

Individual provider Physician Assistant · NPI 1669617015

Lisa Liane Dimodica, PA is a Physician Assistant in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

47 Santa Rosa St
San Luis Obispo, CA 93405-5816
Phone: (805) 542-9596
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA14335 (CA)

Record details

NPI number1669617015
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 12, 2008
Last updated in NPPESDecember 12, 2008

Other providers in San Luis Obispo