LOMPOC VALLEY MEDICAL CENTER (NPI# 1649282856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649282856 |
| Entity Type | Organization |
| Organization Name | LOMPOC VALLEY MEDICAL CENTER |
| Practice Address |
136 N 3rd St Lompoc CA 93436-7002 |
| Mailing Address |
1515 E Ocean Ave Lompoc CA 93436-7092 |
| Practice Telephone | 8057361253 |
| Practice Fax Number | 8057363193 |
| Mailing Telephone | 8057361253 |
| Mailing Fax Number | 8057363193 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | JIM WHITE (CIO) |
| Authorized Official Telephone | 8057373300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ37313Z | 01 |
| CA | ZZZ37313Z | 05 |
| Other Name | Type Code |
|---|---|
| Valley Medical Group of Lompoc | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1225 N H St, Lompoc, CA 934363301 | 8057378700 | |
| 1213 E Ocean Ave Ste 102, Lompoc, CA 934367043 | 8057351155 | |
| 1025 E Ocean Ave Ste A, Lompoc, CA 934367088 | 8057357621 | |
| 303 S C St, Lompoc, CA 934367305 | 8058758850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154750560 | Lompoc Valley Medical Center | General Acute Care Hospital | 303 South C Street, Lompoc, CA 93436 | 2013-11-06 |
| 1376539130 | Lompoc Valley Medical Center | Skilled Nursing Facility | 216 N 3rd St, Lompoc, CA 93436-6104 | 2005-09-26 |
| 1194711952 | Lompoc Valley Medical Center | General Acute Care Hospital | 1515 East Ocean, Lompoc, CA 93436-7337 | 2005-09-26 |
| 1467554873 | Lompoc Valley Medical Center | Pharmacy | 1515 E Ocean Ave, Lompoc, CA 93436-7092 | 2006-09-05 |
| Street Address |
136 N 3RD ST |
| City | LOMPOC |
| State | CA |
| Zip Code | 93436-7002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091836 | Gilbert Owen Andersen | Internal Medicine | 136 N 3rd St, Lompoc, CA 93436-7002 | 2005-05-23 |
| 1255751822 | Iris Amay Radler | Obstetrics & Gynecology | 136 N 3rd St, Lompoc, CA 93436 | 2014-04-22 |
| 1437492428 | Nancy Nekesa Mutoro | Internal Medicine | 136 N 3rd St, Lompoc, CA 93436 | 2013-03-28 |
| 1144529736 | Lee Jordan Silkman | Family Medicine | 136 N 3rd St, Lompoc, CA 93436-7002 | 2011-03-22 |
| 1912145533 | Denise Rubino | General Practice | 136 N 3rd St, Lompoc, CA 93436-7002 | 2009-02-04 |
| 1083752679 | Laurie Colson-young | Marriage & Family Therapist | 136 N 3rd St, Lompoc, CA 93436-7002 | 2007-02-03 |
| 1558454397 | Rodney Leonard Huss | Obstetrics & Gynecology | 136 N 3rd St, Lompoc, CA 93436-7002 | 2006-10-02 |
| 1457454571 | Tonya Schultz | Marriage & Family Therapist | 136 N 3rd St, Lompoc, CA 93436-7002 | 2006-09-06 |
| 1851404743 | Peter William Davis | Surgery | 136 N 3rd St, Lompoc, CA 93436-7002 | 2006-08-16 |
| 1780692814 | William H Gausman Jr. | Anesthesiology | 136 N 3rd St, Lompoc, CA 93436-7002 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671498 | Bonnie O'brien | Technician | 4174 Sirius Avenue, Lompoc, CA 93436 | 2019-10-21 |
| 1043734056 | Stevens Life Chiropractic, PC | Chiropractor | 217-a West Central Ave, Lompoc, CA 93436 | 2017-08-01 |
| 1548621014 | Kimberly Gaynell Wiley | Home Health Aide | 610 East Pine St #34, Lompoc, CA 93436 | 2016-03-11 |
| 1386017960 | Marcos Paul Cline | Counselor | 117 North 'b' Street, Lompoc, CA 93436 | 2015-11-04 |
| 1487045324 | Angela Rose Robinson | Case Manager/Care Coordinator | 113 North H Street, Suite F, Lompoc, CA 93436 | 2015-02-13 |
| 1851795751 | Alina Staniger | Counselor | 604 W Ocean, Lompoc, CA 93436 | 2014-10-21 |
| 1154750560 | Lompoc Valley Medical Center | General Acute Care Hospital | 303 South C Street, Lompoc, CA 93436 | 2013-11-06 |
| 1598191488 | David Lewis Mcaninch Iv | Dentist | 1111 East Ocean Avenue, Suite 9, Lompoc, CA 93436 | 2013-09-24 |
| 1336407048 | Pamela Jordan | Counselor | 110 S. 'c' St. Ste. A, Family Service Agency, Lompoc, CA 93436 | 2012-05-01 |
| 1316220874 | Zillah J. Hodgkins | Counselor | 513 N G St, Lompoc, CA 93436 | 2011-09-21 |
| Find all providers in zip 93436 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770994824 | Ross Alan Vanderhoof | General Practice | 1225 N H St, Lompoc, CA 93436-3301 | 2014-05-12 |
| 1164843892 | Duc Nguyen | General Practice | 3600 Guard Rd, Lompoc, CA 93436-2705 | 2013-12-24 |
| 1912145533 | Denise Rubino | General Practice | 136 N 3rd St, Lompoc, CA 93436-7002 | 2009-02-04 |
| 1699764340 | Raymond Joseph Clydesdale | General Practice | 338 S Dakota Ave, Lompoc, CA 93437 | 2005-10-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.