JESSICA BLAIR LYDIARD M.D.
NPI 1841731296
Psychiatry & Neurology - Psychiatry in San Diego, CA

Q: What is Jessica Lydiard's NPI number?

The NPI number for Jessica Lydiard is 1841731296. It was assigned to this individual provider in the NPPES registry on March 19, 2017.

Q: What is Jessica Lydiard's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Lydiard was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 19, 2017PECOS Enrolled

4094 4TH AVE, SAN DIEGO, CA 92103(305) 355-8128 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 1, 2022, Jul 19, 2021, Jun 24, 2021 and 2 more (5 updates tracked since 2017).

On this page

About Jessica Blair Lydiard M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA BLAIR LYDIARD M.D. (NPI 1841731296) is an individual psychiatry provider in San Diego, California, licensed in California (A171775) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2017).

NPPES Registry Identity

NPI1841731296

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameJESSICA BLAIR LYDIARDCredential: M.D.

Location Address4094 4TH AVESan Diego, CA 92103-2143

Mailing Address1611 Nw 12th AveMiami, FL 33136-1005 · (305) 355-8128

Phone(305) 355-8128

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2017

Enumeration DateMarch 19, 2017

Last NPPES UpdateFebruary 1, 20225 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2022

✔ NPI 1841731296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A171775

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4094 4TH AVE, San Diego, CA 92103

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Blair Lydiard M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113413782

PECOS Enrollment IDI20260102002127

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ELENA HAPKE PT

Physical Therapist

4094 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 515-2545

JOEL FRANCIS TRAMBLEY MD

Internal Medicine

4094 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 515-2545

DR. JOE BENJAMIN FLORES MD

Family Medicine

4094 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 515-2545

DR. MICHAEL JOSEPH EVERTON M.D.

Radiology (Diagnostic Radiology)

4094 4TH AVE, SUITE 200, MC 0834
SAN DIEGO, CA 92103

San Diego County (312) 282-2638

KAYLA R TARRANT ASW

Social Worker (Clinical)

4094 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 515-2545

JENNIFER SAGUN ASUNCION LCSW

Social Worker (Clinical)

4094 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 515-2545

KAITLYN MAHONEY DPT

Physical Therapist

4094 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 515-2300

ERNEST SUNG KIM MD

Family Medicine (Sports Medicine)

4094 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 515-2545

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 Jessica Lydiard's NPI number?

The NPI number for Jessica Lydiard is 1841731296. It was assigned to this individual provider in the NPPES registry on March 19, 2017.

Where is Jessica Lydiard located?

Jessica Lydiard practices at 4094 4th Ave, San Diego, CA 92103. The listed phone number is (305) 355-8128.

What is Jessica Lydiard's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jessica Lydiard enrolled in Medicare?

Yes. Jessica Lydiard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Lydiard was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.