Individual provider Active NPI

Lydie Francillon, MD

  • Family Medicine Physician
  • Ventura, CA
National Provider Identifier
1720647381
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
181815 Issued in CA
Practice address
300 Hillmont Ave
BLDG 340, Suite 201
Ventura, CA 93003-1651
Phone
(805) 652-6100
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 161358 FL
Family Medicine Physician 207Q00000X 181815 CA Primary

Addresses

Primary practice location

300 Hillmont Ave
BLDG 340, Suite 201
Ventura, CA 93003-1651

Mailing address

1260 Boylston St
Boston, MA 02215-4401
Phone (805) 293-1653

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
I20231117002059 CA Practitioner - Family Practice 6608224399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marin City Health and Wellness CenterGroup PAC ID 1052451259, 9 clinicians

Practice addresses (Care Compare)

100 Phillips Dr
Sausalito, CA 94965-1172
Phone (415) 339-8813

Hospital & facility affiliations

  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
181815CAMDFamily Medicine Physician
161358FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Marin City Health and Wellness Center Current Accepting new patients
Marin City Health and Wellness Center CurrentSince Jun 30, 2025 Accepting new patients
Family Health Centers of San Diego, Inc. CurrentSince Sep 3, 2023 Accepting new patients
Marin City Health and Wellness Center CurrentSince Jun 30, 2025 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Sep 3, 2023 Accepting new patients

Locations

1550 Broadway
#2
San Diego, CA 92101
Phone (619) 515-2525

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

6301 3rd St
San Francisco, CA 94124
Phone (415) 339-8813

880 Las Gallinas Ave
Ste 2
San Rafael, CA 94903
Phone (415) 339-8813

100 Phillips Dr
Sausalito, CA 94965
Phone (415) 339-8813

630 Drake Ave
Sausalito, CA 94965
Phone (415) 339-8813

Organizations & group practices 6

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1720647381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154401",
            "telephone_number": "805-293-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HILLMONT AVE",
            "address_2": "BLDG 340, SUITE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031651",
            "telephone_number": "805-652-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCILLON",
        "first_name": "LYDIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "161358",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "181815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.