Byron Fisk Lake, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G58831 Issued in CA

Practice address

300 Sierra College Dr Ste 170
Grass Valley, CA 95945-5083

Phone

(530) 273-4376

Fax

(530) 273-6426

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 1985

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Auburn Faith Vna & Hospice Home health agency, Auburn, CA, CCN 557292
• Aspire Home Healthcare of Northern California, Inc Home health agency, Yuba City, CA, CCN 059707
• Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150
• Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BEBABA
• Direct secure messaging: byron.lake@nml.eclinicaldirectplus.com

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.

• Neva Marie Monigatti Lake, MD

  • Family Medicine Physician
  • Grass Valley, CA
  • NPI 1265487383
  Medicare reassignment
• Neva Monigatti-Lake, M.D.

  • Family Medicine Physician
  • Grass Valley, CA
  • NPI 1427237684
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Nightingale Home Healthcare of Northern California Inc.

  • Home Health Agency
  • Yuba City, CA
  • NPI 1144645813
  Care Compare affiliation
• Sierra Nevada Memorial-Miners Hospital

  • General Acute Care Hospital
  • Grass Valley, CA
  • NPI 1659361392
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Auburn, CA
  • NPI 1194774299
  Care Compare affiliation
• Sutter Valley Hospitals

  • Home Health Agency
  • Auburn, CA
  • NPI 1417987751
  Care Compare affiliation

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1891832242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SIERRA COLLEGE DR STE 170",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455083",
            "telephone_number": "530-273-4376",
            "fax_number": "530-273-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SIERRA COLLEGE DR STE 170",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455083",
            "telephone_number": "530-273-4376",
            "fax_number": "530-273-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "BYRON",
        "middle_name": "FISK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G58831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie La Jeunesse, CPNP
• Gyspy S La'More
• John Walter Lace, M.D., F.C.C.P.
• Catari Lacorazza
• Heather N Laflamme
• Michaela Lake
• Margaret Lally
• Coreen Elizabeth Lamark L.Ac., L.AC
• Joseph D Lambert, M.D.
• Patricia Ann Lanegan, CADC

• Family Medicine Physician in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.