Individual provider Active NPI

Doris E Lyonga, MD

  • Hematology & Oncology Physician
  • Inglewood, CA
National Provider Identifier
1366530875
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G32526 Issued in CA
Practice address
575 East Hardy Street
Suite 104
Inglewood, CA 90301-4038
Phone
(310) 673-9604
Fax
(310) 673-3058
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G32526 CA Primary

Addresses

Primary practice location

575 East Hardy Street
Suite 104
Inglewood, CA 90301-4038

Mailing address

575 East Hardy Street
Suite 104
Inglewood, CA 90301-4052
Phone (310) 673-9604

Other identifiers 2

IdentifierTypeStateIssuer
00G325260MedicaidCA
953759719OtherCATAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Furst MD a Professional Corporation PastSince Aug 26, 2024 Accepting new patients
Ginni S. Rosenfeld, MD Inc PastSince Oct 20, 2015 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1366530875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 EAST HARDY STREET",
            "address_2": "SUITE 104",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014052",
            "telephone_number": "310-673-9604",
            "fax_number": "310-673-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 EAST HARDY STREET",
            "address_2": "SUITE 104",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014038",
            "telephone_number": "310-673-9604",
            "fax_number": "310-673-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONGA",
        "first_name": "DORIS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G32526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G325260",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "953759719",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.