Individual provider Active NPI

Larissa Chartrand, M.D.

  • Internal Medicine Physician
  • Fairfield, CA
National Provider Identifier
1851715627
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 120869 Issued in FL
Practice address
4520 Business Center Drive
200
Fairfield, CA 94534
Phone
(707) 646-5500
NPI assigned
Feb 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 120869 FL Primary

Addresses

Primary practice location

4520 Business Center Drive
200
Fairfield, CA 94534

Mailing address

4500 Business Center Dr
Fairfield, CA 94534-6888
Phone (707) 646-3286

Other names 1

  • Dr. Larissa Hernandez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201125001433 CA Practitioner - Internal Medicine 3274754239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northbay Health Medical FoundationGroup PAC ID 3274010871, 207 clinicians

Practice addresses (Care Compare)

421 Nut Tree Rd
Vacaville, CA 95687-3508
Phone (707) 624-7500

4520 Business Ctr Dr
Suite 200
Vacaville, CA 94534
Phone (707) 646-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 120869FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northbay Healthcare Group CurrentSince Nov 1, 2020 Accepting new patients
Northbay Healthcare Group CurrentSince Nov 1, 2020 Accepting new patients
Northbay Physicians Surgery Center LLC Past Accepting new patients

Locations

1305 Stratford Ave
Dixon, CA 95620

4500 Business Center Dr
Fairfield, CA 94534
Phone (707) 646-4777

4520 Business Center Dr
Ste 200
Fairfield, CA 94534
Phone (707) 646-3500

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

4520 Business Center Dr
#200
Fairfield, CA 94534

421 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 455-3000

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/UMZ-Uxn6V9x08sH5gCnG-5yPg9ZX7et6/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1851715627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BUSINESS CENTER DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945346888",
            "telephone_number": "707-646-3286",
            "fax_number": "707-646-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 BUSINESS CENTER DRIVE",
            "address_2": "200",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94534",
            "telephone_number": "707-646-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARTRAND",
        "first_name": "LARISSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2025-07-07",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 120869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARISSA",
            "last_name": "HERNANDEZ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.