Organization Active NPI

William C Lyon MD, a Professional Corporation

  • Orthopaedic Surgery Physician
  • Pinole, CA
National Provider Identifier
1437359486
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G22328 Issued in CA
Legal business name
WILLIAM C LYON MD, A PROFESSIONAL CORPORATION
Practice address
1700 San Pablo Ave
Suite a
Pinole, CA 94564-2081
Phone
(510) 724-4113
Fax
(510) 964-0607
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
William C. Lyon, MD
Title
Owner
Phone
(510) 724-4113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X G22328 CA Primary

Addresses

Primary practice location

1700 San Pablo Ave
Suite a
Pinole, CA 94564-2081

Mailing address

1700 San Pablo Ave
Suite a
Pinole, CA 94564-2081
Phone (510) 724-4113

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1437359486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SAN PABLO AVE",
            "address_2": "SUITE A",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642081",
            "telephone_number": "510-724-4113",
            "fax_number": "510-964-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SAN PABLO AVE",
            "address_2": "SUITE A",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642081",
            "telephone_number": "510-724-4113",
            "fax_number": "510-964-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C LYON MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-724-4113",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G22328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.