NPIMap

Organization Active NPI

Cusm Health

  • Neurology Physician
  • Colton, CA
National Provider Identifier
1891335477
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CUSM HEALTH
Practice address
1501 Violet St
Colton, CA 92324-1603
Phone
(909) 966-4910
Fax
(909) 966-4910
NPI assigned
Jan 10, 2020
Last updated
Dec 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Paul Lyons, MDNPI 1588652515
Title
Ceo/President
Phone
(909) 566-2669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Neurology Physician 2084N0400X Primary
Clinical Pathology Physician 207ZC0006X

Addresses

Primary practice location

1501 Violet St
Colton, CA 92324-1603

Mailing address

1501 Violet St
Colton, CA 92324-1603
Phone (909) 966-4910

National Provider Directory

National Provider Directory

Locations

1501 Violet St
Colton, CA 92324
Phone (909) 580-9661

275 W Hospitality Ln
Ste 200
San Bernardino, CA 92408

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1891335477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 VIOLET ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241603",
            "telephone_number": "909-966-4910",
            "fax_number": "909-966-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 VIOLET ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241603",
            "telephone_number": "909-966-4910",
            "fax_number": "909-966-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSM HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "909-566-2669",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.