Individual provider Active NPI

Lyndal Mason Ferreria, PAC

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1548892896
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2238 Issued in NV
Practice address
7195 Advanced Way
Las Vegas, NV 89113-3691
Phone
(702) 740-5327
Fax
(702) 740-5328
NPI assigned
Feb 5, 2020
Last updated
Nov 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2238 NV Primary

Addresses

Primary practice location

7195 Advanced Way
Las Vegas, NV 89113-3691

Mailing address

7195 Advanced Way
Las Vegas, NV 89113-3691
Phone (702) 740-5327

Other identifiers 2

IdentifierTypeStateIssuer
PA0483OtherNVNV STATE BOARD OF OSTEOPATHIC MEDICINE
PA2238OtherNVNSBME

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313002032 CA Practitioner - Physician Assistant 5597193292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas D Ferro MD a Medical CorporationGroup PAC ID 8729039789, 3 clinicians

Practice addresses (Care Compare)

425 Haaland Dr
Suite 205
Thousand Oaks, CA 91361-5231
Phone (805) 481-3685

860 Oak Park Blvd
Suite 203
Arroyo Grande, CA 93420-1800
Phone 65088956508006

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.69 of 100Reported as group
Quality
42.71
Promoting interoperability
100
Improvement activities
40
Cost
59.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arroyo Grande Surgical Institute, LLC PastSince Jul 17, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1548892896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7195 ADVANCED WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133691",
            "telephone_number": "702-740-5327",
            "fax_number": "702-740-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7195 ADVANCED WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133691",
            "telephone_number": "702-740-5327",
            "fax_number": "702-740-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRERIA",
        "first_name": "LYNDAL",
        "middle_name": "MASON",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV STATE BOARD OF OSTEOPATHIC MEDICINE",
            "identifier": "PA0483",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSBME",
            "identifier": "PA2238",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.