Lisa Joyce Wyzard, RN, BSN, CCM

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

401258 Issued in CA

Practice address

26209 Governor Ave
Harbor City, CA 90710-3615

Phone

(310) 935-8653

Fax

(404) 905-5823

NPI assigned

Mar 21, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1487455762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26209 GOVERNOR AVENUE",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "90710",
            "telephone_number": "310-935-8653",
            "fax_number": "404-905-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26209 GOVERNOR AVE",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907103615",
            "telephone_number": "310-935-8653",
            "fax_number": "404-905-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYZARD",
        "first_name": "LISA",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "401258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stara Wong, PHARM.D.
• Vivian Tang Wong
• Donavon Tyler Wright, D.P.M.
• Renee D Wright, NP
• Kuan-Teh Wu, MD
• Jin Xiao, MD
• Emily Xie, PHARM D.
• Edward Peng Xu, M.D.
• Gail Yam, M.S., R.D.
• Edward K. Yang, MD

• Registered Nurse in Harbor City, CA
• Providers in Harbor City, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.