Individual provider Active NPI

Yelena S Lapidus, MD

  • Family Medicine Physician
  • Avila Beach, CA
National Provider Identifier
1730159922
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A88176 Issued in CA
Practice address
6685 Bay Laurel Place
Avila Beach, CA 93424
Phone
(805) 439-4825
Fax
(805) 540-3072
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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 A88176 CA Primary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X A88176 CA

Addresses

Primary practice location

6685 Bay Laurel Place
Avila Beach, CA 93424

Mailing address

PO Box 490
Avila Beach, CA 93424-0490
Phone (805) 540-3071

Other identifiers 2

IdentifierTypeStateIssuer
00A881760OtherCABLUE SHIELD PIN
7560775OtherCAAETNA PIN

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
I20050729000641 CA Practitioner - Family PracticePractitioner - Undersea and Hyperbaric Medicine 5395773444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Undersea and Hyperbaric Medicine
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6685 Bay Laurel PL
Avila Beach, CA 93424-3504
Phone (805) 439-4825

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88176CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yelena Lapidus MD Inc Family Medicine CurrentSince Jul 22, 2005 Accepting new patients
Lapidus Clinic PC Family Medicine PastSince Jul 22, 2005 Accepting new patients
Eric Dunlop, DO, Inc. Family Medicine Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJFEAA/Endpoint/AJFEAA

Organizations & group practices 4

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 3

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1730159922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "AVILA BEACH",
            "state": "CA",
            "postal_code": "934240490",
            "telephone_number": "805-540-3071",
            "fax_number": "805-540-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6685 BAY LAUREL PLACE",
            "city": "AVILA BEACH",
            "state": "CA",
            "postal_code": "93424",
            "telephone_number": "805-439-4825",
            "fax_number": "805-540-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPIDUS",
        "first_name": "YELENA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A88176",
            "primary": true
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "CA",
            "license": "A88176",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "00A881760",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "7560775",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avila Beach, CA

Sources for this page

Verify at the official NPI Registry.