NPIMap

Organization Active NPI

South Lyon Health Center, Inc.

Doing business as South Lyon Medical Center

  • Family Medicine Physician
  • Yerington, NV
National Provider Identifier
1407923857
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTH LYON HEALTH CENTER, INC.
Doing business as
South Lyon Medical Center
Practice address
213 S. Whitacre
Yerington, NV 89447-2561
Phone
(775) 463-2301
Fax
(775) 463-4300
NPI assigned
Nov 29, 2006
Last updated
May 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Toni Inserra
Title
Ceo
Phone
(775) 463-6404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

213 S. Whitacre
Yerington, NV 89447-2561

Mailing address

P.O. Box 940
Yerington, NV 89447-0940
Phone (775) 463-2301

Other identifiers 1

IdentifierTypeStateIssuer
100501806MedicaidNV

Other names 1

  • South Lyon Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Lyon Medical Cent12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1407923857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 940",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894470940",
            "telephone_number": "775-463-2301",
            "fax_number": "775-463-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S. WHITACRE",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894472561",
            "telephone_number": "775-463-2301",
            "fax_number": "775-463-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LYON HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "INSERRA",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-463-6404"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100501806",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Lyon Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Lyon Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yerington, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.