LISA MARIE FAYARD MD
NPI 1124581491
Psychiatry & Neurology - Child & Adolescent Psychiatry in Loma Linda, CA
About Lisa Marie Fayard Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MARIE FAYARD MD (NPI 1124581491) is an individual child & adolescent psychiatry provider in Loma Linda, California, licensed in California (A176532) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Marie Fayard Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lisa Fayard's NPI number?
The NPI number for Lisa Fayard is 1124581491. It was assigned to this individual provider in the NPPES registry on April 12, 2019.
Where is Lisa Fayard located?
Lisa Fayard practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-9532.
What is Lisa Fayard's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Lisa Fayard enrolled in Medicare?
Yes. Lisa Fayard is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lisa Fayard was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lisa Marie Fayard, MD · NPI 1124581491
Child & Adolescent Psychiatry physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since April 12, 2019.
## Identity
- **NPI:** 1124581491 (Entity type: Individual)
- **Enumerated:** April 12, 2019
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** A176532 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-9532
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124581491) · Data from the CMS NPPES public registry.