Lyubov Lupyan-Teytelman, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA18793 Issued in CA

Practice address

1261 Travis Blvd
Suite 170
Fairfield, CA 94533-4825

Phone

(707) 399-9200

Fax

(707) 399-9222

NPI assigned

Apr 2, 2007

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

East Bay Center for Digestive Health Medical Associates IncGroup PAC ID 3072588383, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
• Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: lyubov.lupyan-teytelman.1@15506.direct.athenahealth.com

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.

• East Bay Center for Digestive Health Medical Associates, Inc

  • Gastroenterology Physician
  • Oakland, CA
  • NPI 1689782039
  Medicare reassignment Care Compare group
• Rashid Iqbal, MD

  • Gastroenterology Physician
  • Fairfield, CA
  • NPI 1942285879
  Medicare reassignment

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

• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1295181477
  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Berkeley, CA
  • NPI 1639523004
  Care Compare affiliation

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1033230693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 TRAVIS BLVD",
            "address_2": "SUITE 170 GASTROENTEROLOGY",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334825",
            "telephone_number": "707-399-9200",
            "fax_number": "707-399-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 TRAVIS BLVD",
            "address_2": "SUITE 170",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334825",
            "telephone_number": "707-399-9200",
            "fax_number": "707-399-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPYAN-TEYTELMAN",
        "first_name": "LYUBOV",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlin Amber Lumia, LMFT
• Nora Luna
• Catherine Ann Lundeen, MA, LMFT
• Jack Y S Luo, MD
• Xing-Xing Luo, MD
• Luxottica of America Inc.
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Jasmine Kim Crispino Ly, MSW
• Stephanie Anh Ly

• Physician Assistant in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.