Organization Active NPI

The Maven Group Inc.

  • Obstetrics & Gynecology Physician
  • Rialto, CA
National Provider Identifier
1487323572
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
THE MAVEN GROUP INC.
Practice address
1850 N Riverside Ave
Rialto, CA 92376-8071
Phone
(909) 787-1987
Fax
(877) 533-0133
NPI assigned
Sep 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Dr. Nadine Lyseight, MDNPI 1790785046
Title
Executive Chief Office
Phone
(909) 787-1987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1850 N Riverside Ave
Rialto, CA 92376-8071

Mailing address

1850 N Riverside Ave Ste 180
Rialto, CA 92376-8071
Phone (909) 787-1987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260107001046 CA Part B Supplier - Clinic/Group Practice 8426534710 Receives reassigned benefits from 2 practitioners
Practice locations: Rialto, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2267484The Maven Group Inc1850 N Riverside Ave Ste 180, Rialto, CA 92376Certificate of waiverAug 24, 2026

National Provider Directory

National Provider Directory

Locations

4240 Highland Ave
#B
Highland, CA 92346

1850 N Riverside Ave
Ste 180
Rialto, CA 92376
Phone (909) 562-0255

3380 La Sierra Ave
Riverside, CA 92503
Phone (951) 354-9999

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1487323572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE STE 180",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768071",
            "telephone_number": "909-787-1987",
            "fax_number": "877-553-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768071",
            "telephone_number": "909-787-1987",
            "fax_number": "877-533-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MAVEN GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "LYSEIGHT",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "EXECUTIVE CHIEF OFFICE",
        "authorized_official_telephone_number": "909-787-1987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.