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

Lisa Wymer

Individual provider Physician Assistant · NPI 1104533298

Lisa Wymer is a Physician Assistant in Burlingame, California. Qualified in 2022, 4 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022

Practice location Address checks out

1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone: (650) 652-8700
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA62257 (CA)

Record details

NPI number1104533298
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2022
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing addressPo Box 276950, Sacramento, CA 95827-6950

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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