What is Lydia O'Bannon's NPI number?

Lydia O'Bannon's National Provider Identifier (NPI) is 1770911620, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Lydia O'Bannon's specialty?

Lydia O'Bannon is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Lydia O'Bannon located?

Lydia O'Bannon's practice location on file with NPPES is 2170 South Ave, South Lake Tahoe, CA 96150-7026.

What is Lydia O'Bannon's phone number?

The practice phone number listed in the NPPES registry for Lydia O'Bannon is (530) 543-5554.

Is Lydia O'Bannon's NPI active?

Yes — Lydia O'Bannon's NPI (1770911620) is active in the NPPES registry as of the last update on 2019-06-25.

IndividualActive

Lydia O'Bannon, PA-C

NPI 1770911620 · Physician Assistant · South Lake Tahoe, CA

Lydia O'Bannon, PA-C is a Physician Assistant provider in South Lake Tahoe, CA (NPI 1770911620).

Provider details

NPI number: 1770911620
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Physician AssistantPrimary363A00000X
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Detailed profile(79/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
3 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2170 South Ave

South Lake Tahoe, CA 96150-7026

Phone: (530) 543-5554

Fax: (530) 541-3016

Street-level locationGet directions

More CA providers

Mailing address

3001 Edwards Mill Rd

Raleigh, NC 27612-5243

Additional practice locations (2)

935 Mica Dr Ste 13
Carson City, NV 89705-7181
Phone: (775) 783-3065
Fax: (775) 267-1829
212 Elks Point Rd Ste 200
Zephyr Cove, NV 89448-8001
Phone: (775) 589-8950
Fax: (775) 588-1299

Enumerated: 2013-10-30
Last updated: 2019-06-25

Frequently asked questions

What is Lydia O'Bannon's NPI number?: Lydia O'Bannon's National Provider Identifier (NPI) is 1770911620, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Lydia O'Bannon's specialty?: Lydia O'Bannon is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
Where is Lydia O'Bannon located?: Lydia O'Bannon's practice location on file with NPPES is 2170 South Ave, South Lake Tahoe, CA 96150-7026.
What is Lydia O'Bannon's phone number?: The practice phone number listed in the NPPES registry for Lydia O'Bannon is (530) 543-5554.
Is Lydia O'Bannon's NPI active?: Yes — Lydia O'Bannon's NPI (1770911620) is active in the NPPES registry as of the last update on 2019-06-25.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.