Active NPI
Lincoln J Maynes, MD
- Urology Physician
- Riverside, CA
National Provider Identifier
1124055025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A78157
- Practice address
- 10800 Magnolia Ave
Kaiser Permanente Riverside Medical Center, Mob-2
Riverside, CA 92505-3043 - Phone
- (951) 353-3230
- Fax
- (951) 353-5762
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD41134 | TN | |
| Urology Physician | 208800000X | A78157 | CA | Primary |
Addresses
Primary practice location
10800 Magnolia Ave
Kaiser Permanente Riverside Medical Center, Mob-2
Riverside, CA 92505-3043
Mailing address
10800 Magnolia Ave
Kaiser Permanente Riverside Medical Center, Mob-2
Riverside, CA 92505-3043
Phone (951) 353-3230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620476822 | Other | TAX ID |
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
- Urology
- Education
- University of Massachusetts Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sonora Community Hospital
Practice addresses (Care Compare)
690 Guzzi LN
Suite B
Sonora, CA 95370-5292
Phone (209) 536-5757
Hospital & facility affiliations
- Adventist Health Sonora
- Stanford Health Care Tri-Valley
- Stanford Health Care
- Mark Twain Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.78 of 100
- Quality
- 81.74
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 67.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A78157 | CA | MD | Urology Physician |
| MD41134 | TN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonora Community Hospital | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Past | Accepting new patients |
Locations
9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3340
6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000
690 Guzzi Ln
Ste B
Sonora, CA 95370
Phone (209) 536-5060
193 Fairview Ln
Ste C
Sonora, CA 95370
Phone (209) 532-3124
680 Guzzi Ln
Ste 204
Sonora, CA 95370
Phone (209) 536-5750
Interoperability endpoints
- lmaynes266067@direct.llu.edu
Organizations & group practices 5
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.
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Community/Retail Pharmacy
- Sonora, CA
- NPI 1740582568
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
-
- Health Maintenance Organization
- Bellflower, CA
- NPI 1043242555
-
- Family Medicine Physician
- Groveland, CA
- NPI 1356332274
Hospital & facility affiliations 21
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- San Andreas, CA
- NPI 1508968819
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1124055025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 MAGNOLIA AVE",
"address_2": "KAISER PERMANENTE RIVERSIDE MEDICAL CENTER, MOB-2",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053043",
"telephone_number": "951-353-3230",
"fax_number": "951-353-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 MAGNOLIA AVE",
"address_2": "KAISER PERMANENTE RIVERSIDE MEDICAL CENTER, MOB-2",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053043",
"telephone_number": "951-353-3230",
"fax_number": "951-353-5762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYNES",
"first_name": "LINCOLN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "MD41134",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A78157",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "620476822",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.