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

Lisa Vittayarukskul

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851031363

Lisa Vittayarukskul is a Family Practice in Beverly Hills, California. Qualified in 2022, 4 years ago. Practices with Cedars-Sinai Medical Care Foundation, a 1,696-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

8767 Wilshire Blvd Fl 2
Beverly Hills, CA 90211-2714
Phone: (424) 314-5173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 N Pepper Ave, Colton, CA 92324-1801 — (626) 374-5773

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A200975 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1851031363
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2022
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cedars-Sinai Medical Care Foundation — 1696 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Beverly Hills