Individual provider Active NPI

Nadine Stacy-Marie Lyseight, M.D.

  • Obstetrics & Gynecology Physician
  • Rialto, CA
National Provider Identifier
1790785046
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A79351 Issued in CA
Practice address
1850 N Riverside Ave Ste 180
Rialto, CA 92376-8071
Phone
(909) 787-1987
Fax
(877) 553-0133
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A79351 CA Primary

Addresses

Primary practice location

1850 N Riverside Ave Ste 180
Rialto, CA 92376-8071

Mailing address

1850 N Riverside Ave Ste 180
Rialto, CA 92376-8071
Phone (909) 787-1987

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
I20050620001133 CA Practitioner - Obstetrics/Gynecology 1153366281 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79351CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Maven Group Inc. Obstetrics & Gynecology CurrentSince Sep 24, 2025 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Aug 8, 2019 Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients

Locations

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

4240 Highland Ave
Highland, CA 92346
Phone (909) 674-1900

4240 Highland Ave
#B
Highland, CA 92346

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

1850 N Riverside Ave
Ste 180
Rialto, CA 92376
Phone (909) 562-0255

3380 La Sierra Ave
Ste 104730
Riverside, CA 92503

3380 La Sierra Ave
Riverside, CA 92503
Phone (951) 354-9999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1790785046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE STE 180",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768071",
            "telephone_number": "909-787-1987",
            "fax_number": "877-553-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE STE 180",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768071",
            "telephone_number": "909-787-1987",
            "fax_number": "877-553-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSEIGHT",
        "first_name": "NADINE",
        "middle_name": "STACY-MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A79351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

Verify at the official NPI Registry.