Active NPI
Kristopher Lyon, M.D.
- Emergency Medicine Physician
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A100746
- Practice address
- 283 Madonna Rd Ste B
San Luis Obispo, CA 93405-5432 - Phone
- (805) 549-8880
- Fax
- (805) 783-2009
- NPI assigned
- May 9, 2007
- Last updated
- Jun 10, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A100746 | CA | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | A100746 | CA |
Addresses
Primary practice location
283 Madonna Rd Ste B
San Luis Obispo, CA 93405-5432
Mailing address
283 Madonna Rd Ste B
San Luis Obispo, CA 93405-5432
Phone (805) 549-8880
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Jefferson Medical College of Thomas Jefferson University, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Mount Vernon Ave
Bakersfield, CA 93306-3302
Phone (661) 321-3000
283 Madonna Rd
Suite B
San Luis Obispo, CA 93405-5432
Phone (805) 549-8880
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.65
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 92.65
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A100746 | CA | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Multi-Specialty | Current | Accepting new patients |
| Med-Stops Medical Clinic, Inc. | Multi-Specialty | Current | Accepting new patients |
| Cep America - California | Multi-Specialty | Current | Accepting new patients |
| Cep America-California | Multi-Specialty | Current | Accepting new patients |
| Sunshine Physician Services, PC | Multi-Specialty | Current | Accepting new patients |
| Grand Avenue Emergency Physicians Medical Group Inc | Multi-Specialty | Current | Accepting new patients |
Locations
1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220
345 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (805) 489-4261
2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
751 Medical Center Ct
#1182
Chula Vista, CA 91911
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633
283 Madonna Rd
Ste B
Sn Luis Obisp, CA 93405
Phone (805) 549-8880
1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- San Luis Obispo, CA
- NPI 1497572804
-
- Emergency Care Clinic/Center
- San Luis Obispo, CA
- NPI 1295718849
Multi-Specialty
-
dba Kern County Public Health Department
- Public Health or Welfare Agency
- Bakersfield, CA
- NPI 1023167541
-
dba Vituity
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
Multi-Specialty
-
- Emergency Medicine Physician
- Bakersfield, CA
- NPI 1962913632
Multi-Specialty
-
- Emergency Medicine Physician
- Bakersfield, CA
- NPI 1649725466
Multi-Specialty
-
dba Vituity
- Emergency Medicine Physician
- Visalia, CA
- NPI 1558511147
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1114131489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "283 MADONNA RD STE B",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934055432",
"telephone_number": "805-549-8880",
"fax_number": "805-783-2009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "283 MADONNA RD STE B",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934055432",
"telephone_number": "805-549-8880",
"fax_number": "805-783-2009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYON",
"first_name": "KRISTOPHER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A100746",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "CA",
"license": "A100746",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.