Individual provider Active NPI

Lavonne Marie Meadows, MD

  • Dermatology Physician
  • Loma Linda, CA
National Provider Identifier
1578705075
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A113987 Issued in CA
Practice address
25815 Barton Rd Ste 101
Loma Linda, CA 92354-3894
Phone
(909) 796-0224
NPI assigned
Mar 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A113987 CA Primary

Addresses

Primary practice location

25815 Barton Rd Ste 101
Loma Linda, CA 92354-3894

Mailing address

25815 Barton Rd Ste 10
Loma Linda, CA 92354-3893
Phone (909) 796-0224

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130103000438 CA Practitioner - Dermatology 5890948624 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Loma Linda University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sac Health SystemGroup PAC ID 4385533579, 222 clinicians
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

11370 Anderson St
Loma Linda, CA 92354-3450

1454 E 2ND St
San Bernardino, CA 92408-0118
Phone (909) 382-7100

1620 E 2ND St
Suite N
Beaumont, CA 92223-3172
Phone (951) 845-6500

250 S G St
San Bernardino, CA 92410-3320
Phone (909) 382-7100

25815 Barton Rd
Suite 101
Loma Linda, CA 92354-3894
Phone (909) 796-0224

25845 Barton Rd
Suite F
Loma Linda, CA 92354-3899
Phone (909) 558-2828

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000

488 S K St
San Bernardino, CA 92410-2641
Phone (909) 383-8092

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.87 of 100Reported as group
Quality
72.13
Promoting interoperability
80
Improvement activities
40
Cost
77.36

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as group
Quality
90.85
Promoting interoperability
87
Improvement activities
40
Cost
71.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1058
Removal or shaving of skin growth1-10
Skin biopsy283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A113987CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sac Health System CurrentSince Sep 1, 2020 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Csi Medical Group Dermatology CurrentSince Dec 17, 2019 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jan 16, 2019 Accepting new patients
Sac Health System CurrentSince Sep 1, 2020 Accepting new patients
Faculty Physicians and Surgeons of Llusm Dermatology Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jan 16, 2019 Accepting new patients
Sac Health System Current Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Dignity Health Past Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients

Locations

1620 E Second St
Ste N
Beaumont, CA 92223
Phone (951) 845-6500

25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828

11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890

25815 Barton Rd
Ste 101
Loma Linda, CA 92354
Phone (909) 796-0224

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

525 South Dr
Ste 115
Mountain View, CA 94040
Phone (408) 369-5600

1003 E Brier Dr
San Bernardino, CA 92408

250 S G St
San Bernardino, CA 92410
Phone (909) 771-2990

1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lmeadows9253@direct.llu.edu

Organizations & group practices 11

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.

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": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1578705075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25815 BARTON RD STE 10",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543893",
            "telephone_number": "909-796-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25815 BARTON RD STE 101",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543894",
            "telephone_number": "909-796-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "LAVONNE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A113987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.