Individual provider · Type 1 NPI

Larissa N. Botcharnikova, PA-C

Physician Assistant · Shasta Lake, CA

NPI number 1720122054 Active

Practice location

4215 Front St
Shasta Lake, CA 96019-9430

Call (530) 246-5710 Map

Fax (530) 241-7838

Mailing address

PO Box 992790
Redding, CA 96099-2790

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA17636 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1720122054

Larissa N. Botcharnikova, PA-C's National Provider Identifier is 1720122054, issued on Feb 19, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Shasta Lake, CA. The record was last updated on Sep 15, 2026.