Kenneth P. Lyons, M.D.

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

License

G12843 Issued in CA

Practice address

20162 SW Birch St
Suite 150
Newport Beach, CA 92660-0787

Phone

(949) 221-1700

Fax

(949) 221-1704

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Birch Radiology Associates, Inc.

  • Vascular & Interventional Radiology Physician
  • Newport Beach, CA
  • NPI 1891853941
  NPD (past) Authorized official
• Newport Center Radiology Associates Medical Group Inc

  • Diagnostic Radiology Physician
  • Newport Beach, CA
  • NPI 1013951714

  Nuclear Medicine

  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770523391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20162 SW BIRCH ST",
            "address_2": "SUITE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600787",
            "telephone_number": "949-221-1700",
            "fax_number": "949-221-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20162 SW BIRCH ST",
            "address_2": "SUITE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600787",
            "telephone_number": "949-221-1700",
            "fax_number": "949-221-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "KENNETH",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "G12843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G128430",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G128430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sung Lydon, D.D.S.
• Lyg, a Professional Medical Corporation
• Jennifer Ann Lyman, PH.D.
• Sarah Lyndon, PSY.D
• Lynn Dimino MD Inc.
• Dan Lyu
• M Hugh Bailey MD Facs PC Inc
• Dandan Ma, MD
• Ritah Maalouf, DC
• Lesley Anne Macarthur, M.D.

• Nuclear Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Nuclear Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.