Marie Alexia Stoddard Lyndsey, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

171336 Issued in CA

Practice address

8401 Pine Ave Ste 120
Chino, CA 91708-9658

Phone

(909) 789-0937

Fax

(909) 654-3039

NPI assigned

Nov 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marie Alexia Stoddard Former name

Electronic endpoints 2

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

Specialty

Dermatology

Education

University of California, Geffen School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skinphysicians and Surgeons Medical Group IncGroup PAC ID 3971401126, 6 clinicians

Forefront Dermatology - Pacific, P.C.Group PAC ID 8325946015, 25 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mariestoddardlyndsey@ffdwest.emadirect.md
• Direct secure messaging: mstoddard@westderm.emadirect.md

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.

• Forefront Dermatology - Pacific, P.C.

  • Dermatology Physician
  • Thousand Oaks, CA
  • NPI 1356535009
  Medicare reassignment Care Compare group NPD
• Skinphysicians & Surgeons Medical Group, Inc.

  • Dermatology Physician
  • Upland, CA
  • NPI 1356411524
  Medicare reassignment Care Compare group NPD
• J Robert West, M.D., Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788
  Medicare reassignment
• Forefront Dermatology - Pacific, P.C.

  • Dermatology Physician
  • Upland, CA
  • NPI 1487480448
  NPD
• Forefront Dermatology - Pacific, P.C.

  • Dermatology Physician
  • Chino, CA
  • NPI 1013743079
  NPD (past)
• Forefront Dermatology - Pacific, P.C.

  • Dermatology Physician
  • Los Gatos, CA
  • NPI 1861121741
  NPD (past)
• J. Robert West, M.D., Inc

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1114567997
  NPD (past)

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1477096782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 PINE AVE STE 120",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917089658",
            "telephone_number": "909-789-0937",
            "fax_number": "909-654-3039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "859 E Foothill Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864085",
            "country_code": "US",
            "telephone_number": "909-981-8929",
            "fax_number": "909-946-9740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STODDARD LYNDSEY",
        "first_name": "MARIE",
        "middle_name": "ALEXIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "171336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MarieStoddardLyndsey@ffdwest.emadirect.md",
            "affiliation": "N",
            "address_1": "8401 Pine Ave Ste 120",
            "city": "Chino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917089658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MarieStoddardLyndsey@ffdwest.emadirect.md",
            "affiliation": "N",
            "address_1": "859 E Foothill Blvd Ste B",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917864085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "STODDARD",
            "middle_name": "ALEXIA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lynn Bie Stenske, PSY.D.
• Stephen Taylor,DMD, Robert Hou, DDS,MD, & Andrew Lee, DDS,MD, Inc.
• Idongesit J Stephens, FNP
• Steven L. Chiu, D.D.S., Inc.
• Darren L. Stewart, D.C.
• Jewwhei Su
• Xuantong Su
• Cynthia Suarez, BA
• Sudan Dental Corporation
• Jasmin Sullivan, PSYD

• Dermatology Physician in Chino, CA
• Providers in Chino, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.