LYUBOV LUPYAN-TEYTELMAN (NPI# 1033230693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033230693 |
| Entity Type | Individual |
| Full Name | LYUBOV LUPYAN-TEYTELMAN |
| Credential | P.A. |
| Practice Address |
1261 Travis Blvd Suite 170 Fairfield CA 94533-4825 |
| Mailing Address |
1261 Travis Blvd Suite 170 Gastroenterology Fairfield CA 94533-4825 |
| Practice Telephone | 7073999200 |
| Practice Fax Number | 7073999222 |
| Mailing Telephone | 7073999200 |
| Mailing Fax Number | 7073999222 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2015-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA18793 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1261 TRAVIS BLVD SUITE 170 |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942285879 | Rashid Iqbal | Internal Medicine | 1261 Travis Blvd, Ste 170, Fairfield, CA 94533-4897 | 2005-12-14 |
| 1205367141 | Nalls Foundation | Community/Behavioral Health | 1261 Travis Blvd, Suite 240, Fairfield, CA 94533-4897 | 2017-03-22 |
| 1851626394 | Jeffrey Breneisen Md Inc. | Internal Medicine | 1261 Travis Blvd, Suite 200, Fairfield, CA 94533-4897 | 2009-10-15 |
| 1447585161 | Milind Dhond Md Inc | Internal Medicine | 1261 Travis Blvd, Suite 200, Fairfield, CA 94533-4897 | 2009-10-14 |
| 1831358027 | David F La Rochelle Md A Medical Corporation | Orthopaedic Surgery | 1261 Travis Blvd, Suite 190, Fairfield, CA 94533-4897 | 2008-06-03 |
| 1538368279 | Margaret Smith La Rochelle | Specialist | 1261 Travis Blvd, Suite 190, Fairfield, CA 94533-4897 | 2007-07-13 |
| 1871705897 | Cardiac and Vascular Specialists of Northern California, Inc. | Internal Medicine | 1261 Travis Blvd, Ste 200, Fairfield, CA 94533-4897 | 2007-05-03 |
| 1558417824 | David Foster La Rochelle | Orthopaedic Surgery | 1261 Travis Blvd, Suite 190, Fairfield, CA 94533-4897 | 2007-01-26 |
| 1003925926 | Albert M Mitchell | Psychiatry & Neurology | 1261 Travis Blvd, Suite 170, Fairfield, CA 94533-4897 | 2006-08-30 |
| 1659487395 | Matthew T Johnson | Internal Medicine | 1261 Travis Blvd, Ste 320, Fairfield, CA 94533-4897 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293548 | Christina Elizabeth Gentile | Physician Assistant | 313 Suburban Ave, Fairfield, CT 06825-1851 | 2020-07-28 |
| 1962963397 | Olivia Leigh Brandt | Physician Assistant | 4 Skyline Trl, Fairfield, PA 17320-8560 | 2019-03-28 |
| 1205299559 | Bita Joobbani | Physician Assistant | 1860 Pennsylvania Ave Ste 230, Fairfield, CA 94533-3550 | 2016-04-04 |
| 1699178210 | Bradley Joseph Barnes | Physician Assistant | 3050 Mack Rd Ste 200, Fairfield, OH 45014-5375 | 2014-09-28 |
| 1841500675 | Nicolle E White | Physician Assistant | 1918 Black Rock Tpke, Fairfield, CT 06825-3543 | 2010-10-14 |
| 1134303894 | Sarah Brooke Sullivan | Physician Assistant | 113 Old Stratfield Rd, Fairfield, CT 06825-4432 | 2007-12-18 |
| 1679752083 | Sandy Pais Narciso-owen | Physician Assistant | Sacred Heart University, Physician Assistant Studies, 5151 Park Avenue, Fairfield, CT 06825 | 2007-11-01 |
| 1316142599 | Michelle Anne Cifelli | Physician Assistant | 19 Addison Dr, Fairfield, NJ 07004-1534 | 2007-06-18 |
| 1285655977 | Laura Lynn Mora | Physician Assistant | 5129 Dartrmoor Circle, Fairfield, CA 94534 | 2006-07-21 |
| 1699775551 | Julie A Lanter | Physician Assistant | 2818 Mack Rd, Fairfield, OH 45014-5130 | 2005-07-21 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.