Doctor profile · Federal record

Dr. Lyshawn Phommakhoth

Physician Assistant · Sacramento, CA

  • NPI 1306627260
  • 3 yrs on file
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
8120 Timberlake Way Ste 108
Sacramento, CA 958235413
(916) 252-5000
Mailing address
9534 Kelley Dr
Stockton, CA 952091578

Credentials & registration

NPPES · NUCC
NPI registered
October 2023 — 3 yrs on file
Profile last updated
August 7, 2024
Specialty taxonomy
363A00000X — NUCC code
State license (1)
California #64438

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1306627260. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$305
Transactions
16
Manufacturers
8
Payer (manufacturer) Industry Txns Amount
Lilly USA, LLC 3 $70.30
AstraZeneca Pharmaceuticals Lp 4 $58.69
Corcept Therapeutics 2 $48.61
GlaxoSmithKline, LLC. 2 $42.43
Pfizer INC. 2 $32.34
Novo Nordisk INC 1 $18.10
Takeda Pharmaceuticals U.S.A., INC. 1 $17.40
Ironwood Pharmaceuticals, INC 1 $16.78

By nature of payment

Food and Beverage
$305

Frequently asked questions

Auto-generated from federal data
What is Dr. Lyshawn Phommakhoth's medical specialty?
Dr. Lyshawn Phommakhoth practices Physician Assistant in Sacramento, CA.
Where does Dr. Lyshawn Phommakhoth practice?
Dr. Lyshawn Phommakhoth practices at 8120 Timberlake Way Ste 108, Sacramento, CA 958235413. Office phone: 9162525000.
What is Dr. Lyshawn Phommakhoth's NPI?
Dr. Lyshawn Phommakhoth's National Provider Identifier (NPI) is 1306627260, issued by NPPES.