NPIMap

Individual provider Active NPI

Lynda M. Nelson Swain, MD

  • Internal Medicine Physician
  • Yountville, CA
National Provider Identifier
1851479695
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A60924 Issued in CA
Practice address
100 California Drive
Yountville, CA 94599-1412
Phone
(707) 944-4660
Fax
(707) 944-5052
NPI assigned
Nov 1, 2006
Last updated
May 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A60924 CA Primary

Addresses

Primary practice location

100 California Drive
Yountville, CA 94599-1412

Mailing address

100 California Drive, 3E, Room 13
Yountville, CA 94599-1412
Phone (707) 944-4506

Other identifiers 1

IdentifierTypeStateIssuer
00A609240MedicaidCA

Other names 1

  • Mrs. Lynda M. Nelson-Concepcion Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080603000827 CA Practitioner - Internal Medicine 1557431491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Veterans Home of CaliforniaGroup PAC ID 5799683827, 25 clinicians

Practice addresses (Care Compare)

100 California Dr
Yountville, CA 94599-1411
Phone (707) 944-4506

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60924CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Veterans Home of California CurrentSince Apr 28, 2008 Accepting new patients
Veterans Home of California Current Accepting new patients
Veterans Home of California CurrentSince Apr 28, 2008 Accepting new patients
Veterans Home of California Barstow Past Accepting new patients

Locations

1227 O St
Rm 402
Sacramento, CA 95814

100 California Dr
Yountville, CA 94599
Phone (707) 944-4506

100 California Dr
Rm 13
Yountville, CA 94599

220 California Dr
Yountville, CA 94599
Phone (707) 944-4382

220 California Dr
#N
Yountville, CA 94599
Phone (707) 944-4382

220 California Dr
Ste 3E
Yountville, CA 94599
Phone (707) 944-4506

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1851479695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CALIFORNIA DRIVE, 3E, ROOM 13",
            "city": "YOUNTVILLE",
            "state": "CA",
            "postal_code": "945991412",
            "telephone_number": "707-944-4506",
            "fax_number": "707-944-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALIFORNIA DRIVE",
            "city": "YOUNTVILLE",
            "state": "CA",
            "postal_code": "945991412",
            "telephone_number": "707-944-4660",
            "fax_number": "707-944-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON SWAIN",
        "first_name": "LYNDA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A60924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A609240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDA",
            "last_name": "NELSON-CONCEPCION",
            "middle_name": "M.",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yountville, CA

Sources for this page

Verify at the official NPI Registry.