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LOMPOC VALLEY MEDICAL CENTER NPI 1649282856


NPI Information

NPI: 1649282856
Provider Name: LOMPOC VALLEY MEDICAL CENTER
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
136 N 3RD ST
LOMPOC, CA
ZIP 93436
Phone: (805) 736-1253
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LOMPOC VALLEY MEDICAL CENTER is a general practice in Lompoc, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee LOMPOC VALLEY MEDICAL CENTER NPI is 1649282856. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

136 N 3RD ST
LOMPOC, CA
ZIP 93436-002
Phone: (805) 736-1253
Fax: (805) 736-3193

The provider's authorized official is Jim White .
The authorized official title is Cio and has the following contact phone number (805) 737-3300.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 12/23/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207V00000XObstetrics & GynecologyNo
4208000000XPediatricsNo
5208600000XSurgeryNo
6208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ37313ZOTHERCALIFORNIABLUE SHIELD
2ZZZ37313ZMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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