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ALYSSA LANE
NPI 1992445027
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 29, 2022PECOS EnrolledAccepts Medicare Assignment
200 W ARBOR DR # 8676, SAN DIEGO, CA 92103(619) 543-6213 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alyssa Lane NPPES

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

ALYSSA LANE (NPI 1992445027) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine - Phoenix (2017).

NPPES Registry Identity

NPI1992445027
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALYSSA LANE
Location Address200 W ARBOR DR # 8676San Diego, CA 92103-1911
Mailing Address200 W Arbor Dr # 8676San Diego, CA 92103-1911 · (619) 543-6213
Phone(619) 543-6213
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of Medicine - PhoenixGraduated 2017
Enumeration DateMarch 29, 2022
Last NPPES UpdateJuly 16, 2026
NPPES CertifiedJuly 16, 2026
✔ NPI 1992445027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedEmergency MedicineTaxonomy 207P00000X · License A190767 (CA)
200 W ARBOR DR # 8676, San Diego, CA 92103
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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

Alyssa Lane 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.

PECOS PAC ID1052875465
PECOS Enrollment IDI20260715004230
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Alyssa Lane reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Scripps Health
0.3 mi
General Acute Care Hospital
4077 5TH AVE
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 1,598 clinicians in this Medicare group
NPI 1659359446 (619) 260-7101
Cep America - California
12 mi
Emergency Medicine
751 MEDICAL CENTER COURT
Chula Vista, CA 91911
  • Reassigned Medicare billing, California enrollment
  • 1,204 clinicians in this Medicare group
NPI 1457304529 (619) 482-5800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH OWEN M.D.
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # 8676
SAN DIEGO, CA 92103
San Diego County (619) 543-6463
AVI PATEL MD
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # 8676
SAN DIEGO, CA 92103
San Diego County (619) 543-6463
LOUIE WANG MD
Emergency Medicine
200 W ARBOR DR # 8676
SAN DIEGO, CA 92103
San Diego County (619) 543-6463
HEATHER HERMAN
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # 8676
SAN DIEGO, CA 92103
San Diego County (619) 543-4627
DR. MICHAEL JOSEPH HOLMAN M.D.
Emergency Medicine (Emergency Medical Services)
200 W ARBOR DR # 8676
SAN DIEGO, CA 92103
San Diego County (619) 543-6400
THERESA LETICIA MACOSSAY SONKA MD
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # 8676
SAN DIEGO, CA 92103
San Diego County (361) 929-1220
SOPHIA ANNA BYLSMA MD
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # 8676
SAN DIEGO, CA 92103
San Diego County (619) 543-6463
DR. CHRISTIAN JORDAN DAMEFF M.D.
Emergency Medicine
200 W ARBOR DR # 8676
SAN DIEGO, CA 92103
San Diego County (619) 543-6400

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 Alyssa Lane's NPI number?

The NPI number for Alyssa Lane is 1992445027. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Alyssa Lane located?

Alyssa Lane practices at 200 W Arbor Dr # 8676, San Diego, CA 92103. The listed phone number is (619) 543-6213.

What is Alyssa Lane's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alyssa Lane enrolled in Medicare?

Yes. Alyssa Lane 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 organizations bill Medicare for Alyssa Lane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Lane reassigns Medicare benefits to 2 organizations: Scripps Health (San Diego, CA) and Cep America - California (Chula Vista, CA). Each 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 Alyssa Lane'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 Alyssa Lane was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.