Provider Demographics
NPI:1457420978
Name:LYNTON, RICHARD CLIVE (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:CLIVE
Last Name:LYNTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7079
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95763-7079
Mailing Address - Country:US
Mailing Address - Phone:916-817-8400
Mailing Address - Fax:916-817-8488
Practice Address - Street 1:1360 E NATOMA ST STE 140
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-5714
Practice Address - Country:US
Practice Address - Phone:916-817-8400
Practice Address - Fax:866-801-6429
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA70542207P00000X, 207R00000X, 207RA0401X, 207RB0002X, 208M00000X, 207P00000X, 261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A705420Medicaid
CA130540OtherHEALTH NET
CA5687618OtherFIRST HEALTH
CAMCMG459100OtherWESTERN HEALTH ADVANTAGE
CA000810771703OtherPHCS
CA00A705420OtherBLUE SHIELD
CAA70542OtherBLUE CROSS
CA2652045OtherUNITED HEALTHCARE
CA7970766OtherAETNA
CA461135OtherINTERPLAN
CA8628054OtherCIGNA
CA2029339OtherGREAT WEST
CA90205580OtherPACIFICARE
CAMCMG459100OtherWESTERN HEALTH ADVANTAGE
CA00A705420OtherBLUE SHIELD