Alan W. Lyne, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G75644 Issued in CA

Practice address

245 N 10TH St
Santa Paula, CA 93060-2804

Phone

(805) 525-7515

Fax

(805) 933-1612

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Community Memorial Health System

  dba Community Memorial Hospital - Ventura

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1215903018
  NPD (past)
• County of Ventura

  dba Ventura County Medical Center

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1629167457
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083707087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N 10TH ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602804",
            "telephone_number": "805-525-7515",
            "fax_number": "805-933-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N 10TH ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602804",
            "telephone_number": "805-525-7515",
            "fax_number": "805-933-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNE",
        "first_name": "ALAN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G75644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G756440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Tang Lu, MD
• Aaron Meador Luekenga, OD
• Nick C Luizzi, DDS
• Jacqueline Luna
• Sofia Luna
• Faviola Macias
• Alicia Magana
• Carmen Magana
• Christian Magana
• Sierra Reve Magana

• Family Medicine Physician in Santa Paula, CA
• Providers in Santa Paula, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.