Active NPI
Lynous Willard Hall, M.D.
- Obstetrics & Gynecology Physician
- Bakersfield, CA
National Provider Identifier
1023109873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C35906
- Practice address
- 625 34TH St Ste 100
Bakersfield, CA 93301-2307 - Phone
- (833) 678-2781
- Fax
- (661) 368-0618
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | C35906 | CA | Primary |
Addresses
Primary practice location
625 34TH St Ste 100
Bakersfield, CA 93301-2307
Mailing address
625 34TH St Ste 100&200
Bakersfield, CA 93301-2305
Phone (833) 678-2781
Other practice location 1
425 Del Sol Pkwy
Delano, CA 93215-3442
Phone (661) 720-4011
Other practice location 2
625 34th St Ste 200
Bakersfield, CA 93301-2307
Phone (833) 678-2781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C359060 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35906 | CA | MD | Psychologist |
| C35906 | CA | MD | Obstetrics & Gynecology Physician |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0ca83d5d-e2a2-460f-9fe7-e5dfa535cbb3/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1023109873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 34TH ST STE 100&200",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933012305",
"telephone_number": "833-678-2781",
"fax_number": "661-368-0618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 34TH ST STE 100",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933012307",
"telephone_number": "833-678-2781",
"fax_number": "661-368-0618"
}
],
"practiceLocations": [
{
"address_1": "425 Del Sol Pkwy",
"address_purpose": "LOCATION",
"city": "Delano",
"state": "CA",
"postal_code": "932153442",
"country_code": "US",
"telephone_number": "661-720-4011",
"fax_number": "661-720-4012",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "625 34th St Ste 200",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933012307",
"country_code": "US",
"telephone_number": "833-678-2781",
"fax_number": "661-368-0618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "LYNOUS",
"middle_name": "WILLARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "C35906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C359060",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.