Active NPI
Ejhane Janece Lyons
- Student in an Organized Health Care Education/Training Program
- Concord, CA
National Provider Identifier
1871079558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2425 Bisso LN Ste 200
Concord, CA 94520-4886 - Phone
- (925) 521-5715
- Fax
- (925) 646-5662
- NPI assigned
- Jul 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2425 Bisso LN Ste 200
Concord, CA 94520-4886
Mailing address
5940 Kipling Dr
El Sobrante, CA 94803-3565
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elyons@email.jfku.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1871079558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 KIPLING DR",
"city": "EL SOBRANTE",
"state": "CA",
"postal_code": "948033565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 BISSO LN STE 200",
"city": "CONCORD",
"state": "CA",
"postal_code": "945204886",
"telephone_number": "925-521-5715",
"fax_number": "925-646-5662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "EJHANE",
"middle_name": "JANECE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-16",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elyons@email.jfku.edu",
"affiliation": "N",
"address_1": "26081 Mocine Ave",
"city": "Hayward",
"state": "CA",
"country_code": "US",
"postal_code": "945442923",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.