Individual provider Active NPI

Jayson Lian

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1194285288
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A193123 Issued in CA
Practice address
6801 Park Ter # 140400
Los Angeles, CA 90045-1543
Phone
(310) 665-7200
NPI assigned
Mar 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A193123 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

6801 Park Ter # 140400
Los Angeles, CA 90045-1543

Mailing address

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-2060

Other practice location 1

111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-2060

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240805003404 CA Practitioner - Orthopedic Surgery 2264979491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin J Pelton MD IncGroup PAC ID 3375625486, 38 clinicians

Practice addresses (Care Compare)

18840 Ventura Blvd
Suite 204
Tarzana, CA 91356-6340
Phone (818) 708-3333

Hospital & facility affiliations

  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A193123CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin J Pelton MD Inc Orthopaedic Surgery CurrentSince Jul 1, 2025 Accepting new patients
Kevin J. Pelton MD, Inc. Orthopaedic Surgery CurrentSince Jul 1, 2025 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 1, 2024 Accepting new patients
Kevin J. Pelton MD, Inc. Orthopaedic Surgery Past Accepting new patients

Locations

2400 E Katella Ave
Ste 400
Anaheim, CA 92806
Phone (714) 712-9222

16530 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 317-8408

6801 Park Ter
#140400
Los Angeles, CA 90045

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

6801 Park Ter
Ste 400
Los Angeles, CA 90045
Phone (310) 665-7180

1601 Dove St
Ste 275
Newport Beach, CA 92660
Phone (310) 853-6390

23502 Lyons Ave
Ste 202A
Santa Clarita, CA 91321
Phone (661) 222-9030

23502 Lyons Ave
Ste 202
Santa Clarita, CA 91321

18840 Ventura Blvd
#208
Tarzana, CA 91356

18840 Ventura Blvd
Tarzana, CA 91356

18840 Ventura Blvd
Ste 204
Tarzana, CA 91356
Phone (818) 708-3333

258 Lombard St
Ste 200
Thousand Oaks, CA 91360
Phone (213) 793-4072

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1194285288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 PARK TER # 140400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451543",
            "telephone_number": "310-665-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-2060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIAN",
        "first_name": "JAYSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-23",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A193123",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.