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

Individual provider Behavior Technician · NPI 1285142125

Lissande Mercedes Laverty, PA-C is a Physician Assistant in Vista, California. Graduated from University of Utah School of Medicine in 2021, 5 years ago. Practices with Carbon Health Medical Group of California PC, a 332-clinician group and accepts Medicare assignment.

Years since qualifying
5
Trained at
University of Utah School of Medicine
In the registry since
2018
Specialties on file
3
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

2375 S Melrose Dr
Vista, CA 92081-8788
Phone: (760) 822-9192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Behavior Technician Taxonomy 106S00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1285142125
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 12, 2018
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Carbon Health Medical Group Of California Pc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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