NPIMap

Individual provider Active NPI

Lori J. Wynstock, M.D.

  • Internal Medicine Physician
  • Pasadena, CA
National Provider Identifier
1194764589
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A63397 Issued in CA
Practice address
950 S Arroyo Pkwy
3Rd Floor
Pasadena, CA 91105-3930
Phone
(626) 793-6113
Fax
(626) 793-8013
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A63397 CA Primary

Addresses

Primary practice location

950 S Arroyo Pkwy
3Rd Floor
Pasadena, CA 91105-3930

Mailing address

950 S Arroyo Pkwy
Pasadena, CA 91105-3930
Phone (626) 793-6113

Other identifiers 1

IdentifierTypeStateIssuer
P00069309OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000658 CA Practitioner - Internal Medicine 3577559509 Practice locations: Pasadena, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Un of California, Irvine, College of Medicine, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

950 S Arroyo Pkwy
FL 3
Pasadena, CA 91105-3932
Phone (626) 793-6113

Hospital & facility affiliations

  • Curing Hands Home Health, Inc Home health agency, Burbank, CA, CCN 059361
  • Family Choice Home Health Home health agency, Burbank, CA, CCN 053143
  • Verdugo Hills Home Care, Inc Home health agency, La Crescenta, CA, CCN 557407
  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438
  • Usc Kenneth Norris Jr Cancer Hospital Hospital, Los Angeles, CA, CCN 050660
  • The Californian Pasadena Healthcare Nursing home, Pasadena, CA, CCN 055480
  • Gem Tcu Nursing home, Pasadena, CA, CCN 055341
  • Villa Gardens Health Care Unit Nursing home, Pasadena, CA, CCN 555429

Merit-based Incentive Payment System (MIPS)

Final score
93.09 of 100Reported as individual
Quality
86.18
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Lori J. Wynstock, M.D. Internal Medicine PastSince Jan 1, 1990 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gem TcuPasadena, CA, CCN 055341 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2025
Aug 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 8

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1194764589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S ARROYO PKWY",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053930",
            "telephone_number": "626-793-6113",
            "fax_number": "626-793-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S ARROYO PKWY",
            "address_2": "3RD FLOOR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053930",
            "telephone_number": "626-793-6113",
            "fax_number": "626-793-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNSTOCK",
        "first_name": "LORI",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00069309",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.