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

Liza Marie Jastrow, LAC

Individual provider Acupuncturist · NPI 1447314836

Liza Marie Jastrow, LAC is a Physician Assistant in Emeryville, California. Qualified in 2013, 13 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

2100 Powell St Ste 900
Emeryville, CA 94608-1844
Phone: (510) 350-2600
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA22962 (CA)
Acupuncturist Taxonomy 171100000X · Licence AC 9633 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 22962 (CA)

Record details

NPI number1447314836
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESOctober 3, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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