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

Individual provider Psychiatry Physician · NPI 1679793269

Lisa Rosemary Fazzolari, DO is a Psychiatry in Pleasanton, California. Graduated from Philadelphia College of Osteopathic Medicine in 1991, 35 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
35
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5674 Stoneridge Dr Ste 116
Pleasanton, CA 94588-8500
Phone: (925) 520-0005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 20A8371 (CA)

Record details

NPI number1679793269
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 26, 2007
Last updated in NPPESFebruary 11, 2022

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1991 (35 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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