NPIMap

Organization Active NPI

Sergey Lyass MD, PC

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1588940571
Registry record updated Oct 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
14103 Issued in NV
Legal business name
SERGEY LYASS MD, PC
Practice address
3560 E Flamingo Rd
# 105
Las Vegas, NV 89121-0201
Phone
(702) 454-8712
Fax
(702) 434-5865
NPI assigned
Oct 23, 2011
Last updated
Oct 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2011

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

Authorized official

Name
Dr. Sergey Lyass, M.D.NPI 1316996911
Title
President
Phone
(310) 623-1786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 14103 NV Primary

Addresses

Primary practice location

3560 E Flamingo Rd
# 105
Las Vegas, NV 89121-0201

Mailing address

4301 Grimes PL
Encino, CA 91316-4361
Phone (818) 578-3388

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319328000000",
    "number": "1588940571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 GRIMES PL",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164361",
            "telephone_number": "818-578-3388",
            "fax_number": "310-693-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 E FLAMINGO RD",
            "address_2": "# 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891210201",
            "telephone_number": "702-454-8712",
            "fax_number": "702-434-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGEY LYASS MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-23",
        "last_updated": "2011-10-23",
        "status": "A",
        "authorized_official_last_name": "LYASS",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-623-1786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "14103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.