Elizabeth Gutrecht Lyster, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

G72094 Issued in CA

Practice address

26671 Aliso Creek Rd
Suite 205
Aliso Viejo, CA 92656-4809

Phone

(949) 831-0300

Fax

(949) 831-0339

NPI assigned

Nov 9, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Infusion Express of California Inc

  dba IVX Health

  • Infusion Therapy Clinic/Center
  • Fremont, CA
  • NPI 1447604525
  Medicare reassignment NPD
• Elizabeth G. Lyster, M.D., Inc.

  • Gynecology Physician
  • Aliso Viejo, CA
  • NPI 1982884706
  Authorized official Same address or phone
• La Vida Multi-Specialty Medical Group

  • Specialist
  • San Pedro, CA
  • NPI 1285789487
  NPD (past)
• La Vida Multi-Specialty Medical Group

  • Specialist
  • Culver City, CA
  • NPI 1730234386
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851461230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26671 ALISO CREEK RD",
            "address_2": "SUITE 205",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564809",
            "telephone_number": "949-831-0300",
            "fax_number": "949-831-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26671 ALISO CREEK RD",
            "address_2": "SUITE 205",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564809",
            "telephone_number": "949-831-0300",
            "fax_number": "949-831-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSTER",
        "first_name": "ELIZABETH",
        "middle_name": "GUTRECHT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G72094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G72094",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connor Lowder
• Thomas Ludema, MD
• May Lue
• Delia Lupsa, M.D.
• Luxottica of America Inc (Target Optical #1893)
• Abraham Maaz, MD
• Erin Macdonald, R.D.
• Jeffrey K Madden, CRNA
• Heather Maguire, PSYD, BCBA-D
• Tamara Baldwin Malone

• Gynecology Physician in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.