Yelena Lapidus MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A88176 Issued in CA

Legal business name

YELENA LAPIDUS MD INC

Practice address

6685 Bay Laurel Place
Avila Beach, CA 93424

Phone

(805) 540-3071

Fax

(805) 540-3072

NPI assigned

Feb 27, 2008

Organization subpart

No

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

Authorized official

Name

Keira Gregory

Title

Billing/Credentialing Administrator

Phone

(317) 332-1189

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yelena S Lapidus, MD

  • Family Medicine Physician
  • Avila Beach, CA
  • NPI 1730159922
  Medicare reassignment NPD
• Brent Alan Trockman, D.C.

  • Chiropractor
  • San Luis Obispo, CA
  • NPI 1194783902
  NPD (past)

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1235308818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "AVILA BEACH",
            "state": "CA",
            "postal_code": "934240490",
            "telephone_number": "805-540-3071",
            "fax_number": "805-540-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6685 BAY LAUREL PLACE",
            "city": "AVILA BEACH",
            "state": "CA",
            "postal_code": "93424",
            "telephone_number": "805-540-3071",
            "fax_number": "805-540-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELENA LAPIDUS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2021-03-02",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "KEIRA",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING ADMINISTRATOR",
        "authorized_official_telephone_number": "317-332-1189"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A88176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy G. Rueschenberg, PH.D.
• Sedghi Momentum Health Chiropractic (Momentum Health Chiropractic)
• Shirley L. Stack, PH.D.
• Timothy H. Jones, M.D., Inc.
• Holly Whall, M.S.W., M.P.H., LCSW

• Family Medicine Physician in Avila Beach, CA
• Providers in Avila Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.