Individual provider Active NPI

John Michael Lyons, MD

  • Obstetrics & Gynecology Physician
  • Colton, CA
National Provider Identifier
1215905930
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A38565 Issued in CA
Practice address
400 N Pepper Ave
Mob206
Colton, CA 92324-1801
Phone
(909) 580-3470
Fax
(909) 580-3289
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A38565 CA Primary

Addresses

Primary practice location

400 N Pepper Ave
Mob206
Colton, CA 92324-1801

Mailing address

6116 Hawarden Dr
Riverside, CA 92506
Phone (951) 683-2422

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
I20111227000178 CA Practitioner - Obstetrics/Gynecology 7618143512 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A38565CAMDObstetrics & Gynecology Physician
38565CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mommy and Me Medical Group, Inc. Obstetrics & Gynecology CurrentSince Sep 3, 2017 Accepting new patients
Valley Obstetrics & Gynecology Medical Group, Inc. Obstetrics & Gynecology CurrentSince Sep 1, 2016 Accepting new patients
Pacific Perinatal Institute Obstetrics & Gynecology Past Accepting new patients
Reuben C Castillo, Professional Corporation PastSince Sep 3, 2017 Accepting new patients

Locations

400 N Pepper Ave
Fl 2
Colton, CA 92324
Phone (909) 580-2440

400 N Pepper Ave
#2
Colton, CA 92324
Phone (909) 580-2270

400 N Pepper Ave
#206
Colton, CA 92324
Phone (909) 580-2270

498 W 4th St
Perris, CA 92570
Phone (951) 657-5441

1688 N Perris Blvd
Ste H4
Perris, CA 92571
Phone (951) 647-7876

595 N Arrowhead Ave
Sn Bernrdno, CA 92401

Interoperability endpoints

  • Direct secure messaging: john.lyons.p2@direct.mpmccorp.nextgenshare.com
  • Direct secure messaging: john.lyons.p6@direct.mpmccorp.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1215905930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 HAWARDEN DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92506",
            "telephone_number": "951-683-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "address_2": "MOB206",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-3470",
            "fax_number": "909-580-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A38565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.