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

Mrs. Lisa Rogers, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1619391182

Mrs. Lisa Rogers, PHYSICIANASSISTANT is a Physician Assistant in San Bernardino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
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Practice location Address checks out

565 N Mount Vernon Ave
San Bernardino, CA 92411-2661
Phone: (909) 884-9091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA51334 (CA)

Record details

NPI number1619391182
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedFebruary 5, 2014
Last updated in NPPESDecember 23, 2019
Certification dateDecember 23, 2019

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