Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Lynn Passalacqua, PA-C

Individual provider Medical Physician Assistant · NPI 1275140550

Lisa Lynn Passalacqua, PA-C is a Medical Physician Assistant in Santa Ana, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone: (888) 959-5192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 58543 (CA)

Record details

NPI number1275140550
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 30, 2020
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023

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