JACK TYLER LYDEN MD
NPI 1346980919
Psychiatry & Neurology - Psychiatry in Corona, CA
About Jack Tyler Lyden Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK TYLER LYDEN MD (NPI 1346980919) is an individual psychiatry provider in Corona, California, licensed in California (209112) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jack Tyler Lyden Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jack Lyden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Scottsdale, AZ 85253
- Reassigned Medicare billing, California enrollment
- 766 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92883 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CORONA, CA 92883
CORONA, CA 92883
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 Jack Lyden's NPI number?
The NPI number for Jack Lyden is 1346980919. It was assigned to this individual provider in the NPPES registry on March 31, 2022.
Where is Jack Lyden located?
Jack Lyden practices at 4160 Temescal Canyon Rd, Corona, CA 92883. The listed phone number is (858) 279-1223.
What is Jack Lyden's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Jack Lyden enrolled in Medicare?
Yes. Jack Lyden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jack Lyden's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Lyden reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Lyden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jack Lyden was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Jack Tyler Lyden, MD · NPI 1346980919
Psychiatry physician in Corona, California. Individual provider, active in the CMS NPPES registry since March 31, 2022.
## Identity
- **NPI:** 1346980919 (Entity type: Individual)
- **Enumerated:** March 31, 2022
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 209112 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4160 TEMESCAL CANYON RD, Corona, CA 92883-4625
- **Phone:** (858) 279-1223
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pacific Coast Psychiatric Associates Inc (NPI 1023125465, Scottsdale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Florida College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** May 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1346980919) · Data from the CMS NPPES public registry.