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

MS. Tamara Mishelle Lusinyan, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1841709276

MS. Tamara Mishelle Lusinyan, PHYSICIANASSISTANT is a Physician Assistant in Los Angeles, California. Qualified in 2017, 9 years ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
Specialties on file
3

Practice location Address checks out

1450 San Pablo St Ste 6200
Los Angeles, CA 90033
Phone: (323) 442-9062
Show map & directions

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

Additional practice locations (1)

  • 8631 W 3rd St Ste 715, Los Angeles, CA 90048-5911 — (310) 278-8338

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA54657 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 54657 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 54657 (CA)

Record details

NPI number1841709276
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 28, 2017
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 17, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Usc Care Medical Group Inc — 1371 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Los Angeles