Doctor profile · Federal record
Dr. Lisa Dimodica, PA
Physician Assistant · San Luis Obispo, CA
- NPI 1669617015
- 18 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
47 Santa Rosa St
San Luis Obispo, CA 934055816
(805) 542-9596
Credentials & registration
- NPI registered
- December 2008 — 18 yrs on file
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- California #PA14335
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669617015. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$122
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Alkermes, Inc. | 2 | $121.84 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
58
Patients
0
Total drug cost
$1,355
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Diclofenac Sodium | Generic | 12 | 0 | $476 |
| Gabapentin | Generic | 12 | 0 | $362 |
| Levothyroxine Sodium | Generic | 12 | 0 | $202 |
| Lisinopril | Generic | 11 | 0 | $150 |
| Metformin Hcl | Generic | 11 | 0 | $165 |
Frequently asked questions
What is Dr. Lisa Dimodica's medical specialty?
Dr. Lisa Dimodica practices Physician Assistant in San Luis Obispo, CA.
Where does Dr. Lisa Dimodica practice?
Dr. Lisa Dimodica practices at 47 Santa Rosa St, San Luis Obispo, CA 934055816. Office phone: 8055429596.
What is Dr. Lisa Dimodica's NPI?
Dr. Lisa Dimodica's National Provider Identifier (NPI) is 1669617015, issued by NPPES.