Organization Active NPI

Victor Lyapis,M.D Prof Corp

  • General Practice Physician
  • San Francisco, CA
National Provider Identifier
1528336047
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A054424 Issued in CA
Legal business name
VICTOR LYAPIS,M.D PROF CORP
Practice address
2320 Sutter St Ste 101
San Francisco, CA 94115-3023
Phone
(415) 771-4072
Fax
(415) 928-1311
NPI assigned
Dec 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Victor Lyapis, MDNPI 1760407936
Title
Owner
Phone
(415) 771-4072

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A054424 CA Primary

Addresses

Primary practice location

2320 Sutter St Ste 101
San Francisco, CA 94115-3023

Mailing address

2320 Sutter St Ste 101
San Francisco, CA 94115-3023
Phone (415) 771-4072

Other identifiers 1

IdentifierTypeStateIssuer
OOA544240MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111216000213 CA Part B Supplier - Clinic/Group Practice 1850566019 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

2186 Geary Blvd
Ste 104
San Francisco, CA 94115
Phone (415) 771-0700

Practitioners & affiliated clinicians

Practitioners 1

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": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1528336047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 SUTTER ST STE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153023",
            "telephone_number": "415-771-4072",
            "fax_number": "415-928-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 SUTTER ST STE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153023",
            "telephone_number": "415-771-4072",
            "fax_number": "415-928-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR LYAPIS,M.D PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "LYAPIS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-771-4072",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A054424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOA544240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.