Active NPI
Lori Lee Vanyo, MD
- Surgery Physician
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A55042
- Practice address
- 1910 Royalty Dr
Pomona, CA 91767-3021 - Phone
- (909) 766-1600
- Fax
- (909) 766-1601
- NPI assigned
- Mar 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A55042 | CA | Primary |
Addresses
Primary practice location
1910 Royalty Dr
Pomona, CA 91767-3021
Mailing address
1910 Royalty Dr
Pomona, CA 91767-3021
Phone (909) 766-1600
Other practice location 1
138 Harvard Ave
Claremont, CA 91711-4760
Phone (909) 624-4503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A550420 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Loma Linda University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1910 Royalty Dr
Pomona, CA 91767-3021
Phone (909) 766-1600
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 25 |
| Melanoma (skin cancer) excision | 17 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A55042 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lori L Vanyo MD Facs Inc | Surgery | Current | Accepting new patients |
| Chaparral Medical Group, Inc. | Current | Accepting new patients | |
| Chaparral Medical Group, Inc. | Surgery | Current | Accepting new patients |
Locations
2140 Grand Ave
Ste 120
Chino Hills, CA 91709
Phone (909) 392-2002
1910 Royalty Dr
Pomona, CA 91767
Phone (844) 400-2236
840 Towne Center Dr
Pomona, CA 91767
250 W Bonita Ave
Ste 100
Pomona, CA 91767
Phone (909) 392-2002
9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IGJEBD/Endpoint/IGJEBD
Organizations & group practices 3
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.
-
- Surgery Physician
- Pomona, CA
- NPI 1699265850
-
- Cardiovascular Disease Physician
- Rancho Cucamonga, CA
- NPI 1346639952
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1407813660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1528036910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 ROYALTY DR",
"city": "POMONA",
"state": "CA",
"postal_code": "917673021",
"telephone_number": "909-766-1600",
"fax_number": "909-766-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 ROYALTY DR",
"city": "POMONA",
"state": "CA",
"postal_code": "917673021",
"telephone_number": "909-766-1600",
"fax_number": "909-766-1601"
}
],
"practiceLocations": [
{
"address_1": "138 Harvard Ave",
"address_purpose": "LOCATION",
"city": "Claremont",
"state": "CA",
"postal_code": "917114760",
"country_code": "US",
"telephone_number": "909-624-4503",
"fax_number": "909-624-6364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANYO",
"first_name": "LORI",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A55042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A550420",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.