Sergey Lyass MD a Professional Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A80181 Issued in CA

Legal business name

SERGEY LYASS MD A PROFESSIONAL CORPORATION

Practice address

6404 Wilshire Blvd Ste 701
Los Angeles, CA 90048-5509

Phone

(310) 623-1786

Fax

(310) 623-1922

NPI assigned

Oct 27, 2006

Last updated

May 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sergey LyassNPI 1316996911

Title

President

Phone

(310) 623-1786

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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.

• Sergey Lyass, MD

  • Surgery Physician
  • Encino, CA
  • NPI 1316996911
  Medicare reassignment Authorized official
• Alexander Gershman, MD

  • Specialist
  • Los Angeles, CA
  • NPI 1124058219
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1780760231",
    "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": "310-623-1786",
            "fax_number": "310-693-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 WILSHIRE BLVD STE 701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485509",
            "telephone_number": "310-623-1786",
            "fax_number": "310-623-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGEY LYASS MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "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"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A80181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2032137",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serenity Gardens Hope House LLC
• Serenity Healthcare Partners Inc
• Serenity Investment, LLC (Rise Wellness Center)
• Serenity Wellness Center la, Inc.
• Sarah Jasmine Seresinghe, MD, MPH
• Sergey Lyass MD Surgical
• Sergey Sirenko DDS a Dental Corporation
• Sergio E Rojter M D a Professional Corporation
• Istvan Seri, MD
• Noel Seriale

• Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.