Lori L Vanyo MD Facs Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

BV4898447 Issued in CA

Legal business name

LORI L VANYO MD FACS INC

Practice address

1910 Royalty Dr
Pomona, CA 91767-3021

Phone

(909) 766-1600

Fax

(909) 766-1601

NPI assigned

May 14, 2018

Organization subpart

No

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

Authorized official

Name

Lori L Vanyo, MDNPI 1528036910

Title

President

Phone

(909) 766-1600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Lee Vanyo, MD

  • Surgery Physician
  • Pomona, CA
  • NPI 1528036910
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1699265850",
    "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": [],
    "basic": {
        "organization_name": "LORI L VANYO MD FACS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "VANYO",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-766-1600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "BV4898447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefany Lopez
• Ulices Lopez
• Vanessa Lopez
• Yajaira Guadalupe Lopez
• Zuleyka Lopez
• Los Angeles American Indian Health Centers Inc
• Los Angeles Centers for Alcohol and Drug Abuse
• Los Angeles County Department of Mental Health
• Los Angeles County Department of Mental Health
• Marcus Jian Lou

• Surgery Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Surgery Physician in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.