| Lompoc Valley Medical Center | |
|
136 N 3rd St Lompoc CA 93436-7002 | |
| (805) 736-1253 | |
| (805) 736-3193 |
| Full Name | Lompoc Valley Medical Center |
|---|---|
| Speciality | General Practice |
| Location | 136 N 3rd St, Lompoc, California |
| Authorized Official Name and Position | Jim White (CIO) |
| Authorized Official Contact | 8057373300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lompoc Valley Medical Center 1515 E Ocean Ave Lompoc CA 93436-7092 Ph: (805) 736-1253 | Lompoc Valley Medical Center 136 N 3rd St Lompoc CA 93436-7002 Ph: (805) 736-1253 |
| NPI Number | 1649282856 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 12/23/2020 |
| Medicare PECOS PAC ID | 9739275595 |
|---|---|
| Medicare Enrollment ID | O20090506000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649282856 | NPI | - | NPPES |
| ZZZ37313Z | Other | CA | BLUE SHIELD |
| ZZZ37313Z | Medicaid | CA |
| Provider Name | Anne Therese Rodriguez |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1316929565 PECOS PAC ID: 9537055298 Enrollment ID: I20040227000620 |
| Provider Name | Christopher G Lumsdaine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326052069 PECOS PAC ID: 5294626511 Enrollment ID: I20040324000524 |
| Provider Name | Gilbert O Andersen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821091836 PECOS PAC ID: 9537140249 Enrollment ID: I20040527001372 |
| Provider Name | Ira Edward Felman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902913809 PECOS PAC ID: 3870491780 Enrollment ID: I20040722000759 |
| Provider Name | William Pierce |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083620330 PECOS PAC ID: 1456332279 Enrollment ID: I20050228001045 |
| Provider Name | Brian J Taber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811903131 PECOS PAC ID: 4486608171 Enrollment ID: I20050304000840 |
| Provider Name | Randall Caldron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053475822 PECOS PAC ID: 8527094200 Enrollment ID: I20050713001182 |
| Provider Name | Hsien Cheng Young |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1528162757 PECOS PAC ID: 4486652088 Enrollment ID: I20061114000659 |
| Provider Name | Wayne B Jonas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275621443 PECOS PAC ID: 1951408525 Enrollment ID: I20070515000523 |
| Provider Name | Bernard I Weinstock |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114939568 PECOS PAC ID: 2466530266 Enrollment ID: I20080418000485 |
| Provider Name | John D Mccaffery |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770537631 PECOS PAC ID: 8921171588 Enrollment ID: I20080716000153 |
| Provider Name | Bandhit Sinkaset |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710991146 PECOS PAC ID: 7911997374 Enrollment ID: I20080811000511 |
| Provider Name | William H Gausman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780692814 PECOS PAC ID: 1658445515 Enrollment ID: I20080811000573 |
| Provider Name | Rollin C Bailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689662447 PECOS PAC ID: 7810987260 Enrollment ID: I20080811000655 |
| Provider Name | Carl A Schlosser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427062942 PECOS PAC ID: 2961576806 Enrollment ID: I20080811000672 |
| Provider Name | William A Golgert |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366530412 PECOS PAC ID: 3971679150 Enrollment ID: I20080912000209 |
| Provider Name | Cristina Valero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467629931 PECOS PAC ID: 5496817173 Enrollment ID: I20081215000749 |
| Provider Name | Harold N Ginsberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740456516 PECOS PAC ID: 6103982137 Enrollment ID: I20090302000212 |
| Provider Name | Philip Ente |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366474819 PECOS PAC ID: 3375696990 Enrollment ID: I20090729000872 |
| Provider Name | Liberty Partridge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265600068 PECOS PAC ID: 9638225477 Enrollment ID: I20090921000592 |
| Provider Name | Eugene Kaplan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457419210 PECOS PAC ID: 6608912019 Enrollment ID: I20091014000752 |
| Provider Name | Donna Walker |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528086964 PECOS PAC ID: 7113825944 Enrollment ID: I20100121000512 |
| Provider Name | Michael Gill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497847123 PECOS PAC ID: 4981766540 Enrollment ID: I20100215000462 |
| Provider Name | David F Lemmel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871526590 PECOS PAC ID: 6608879655 Enrollment ID: I20100318000476 |
| Provider Name | Elham Novin Baheran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245432897 PECOS PAC ID: 1254404676 Enrollment ID: I20100517000346 |
| Provider Name | John G. Elder |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366454225 PECOS PAC ID: 3476678400 Enrollment ID: I20101004001131 |
| Provider Name | Lloyd L Trujillo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508817271 PECOS PAC ID: 1759394273 Enrollment ID: I20101015000095 |
| Provider Name | Khawar Gul |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538296744 PECOS PAC ID: 7618161555 Enrollment ID: I20101104000386 |
| Provider Name | Daryl W Burgess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104931575 PECOS PAC ID: 4486848264 Enrollment ID: I20101105000465 |
| Provider Name | Melani P Shaum |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144333477 PECOS PAC ID: 4981890423 Enrollment ID: I20101123001117 |
| Provider Name | Virna M Veloso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063473932 PECOS PAC ID: 4587841507 Enrollment ID: I20110531000478 |
| Provider Name | Peter W Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851404743 PECOS PAC ID: 7315843661 Enrollment ID: I20121105000032 |
| Provider Name | Dale A Tylor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891884359 PECOS PAC ID: 0143374777 Enrollment ID: I20130318000124 |
| Provider Name | Jaspal S Dhaliwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093018269 PECOS PAC ID: 8325065741 Enrollment ID: I20131015001117 |
| Provider Name | Rodney Huss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558454397 PECOS PAC ID: 4880910561 Enrollment ID: I20150225000534 |
| Provider Name | Kai Chin Jeng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588919971 PECOS PAC ID: 6709191539 Enrollment ID: I20150821014399 |
| Provider Name | Jennifer Vineyard |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1477847630 PECOS PAC ID: 3476794892 Enrollment ID: I20150911002379 |
| Provider Name | James R Trettin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750656971 PECOS PAC ID: 7517186042 Enrollment ID: I20160927000574 |
| Provider Name | Vicente A Tejada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801271598 PECOS PAC ID: 9436447299 Enrollment ID: I20161011000485 |
| Provider Name | Andrew G Ross |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932543998 PECOS PAC ID: 5698067098 Enrollment ID: I20170508001236 |
| Provider Name | Lee Jordan Silkman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144529736 PECOS PAC ID: 8123247400 Enrollment ID: I20180102001277 |
| Provider Name | Madhup Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033203740 PECOS PAC ID: 5890040661 Enrollment ID: I20180619001891 |
| Provider Name | Iris Amay Radler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255751822 PECOS PAC ID: 5698027233 Enrollment ID: I20181010001463 |
| Provider Name | Mohammad Tabek Bakir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902289515 PECOS PAC ID: 0143572602 Enrollment ID: I20181010002882 |
| Provider Name | Abhishek Mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255691341 PECOS PAC ID: 3476850538 Enrollment ID: I20190325002871 |
| Provider Name | Angie U Song |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982605259 PECOS PAC ID: 0446234595 Enrollment ID: I20190429001409 |
| Provider Name | John Baeke |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1831192525 PECOS PAC ID: 6608118039 Enrollment ID: I20190503001051 |
| Provider Name | Richard C Rooney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134189822 PECOS PAC ID: 7911923636 Enrollment ID: I20190627000744 |
| Provider Name | Hafez Ali Nasr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659364271 PECOS PAC ID: 1052606142 Enrollment ID: I20190812000848 |
| Provider Name | Naila M Rashid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992124309 PECOS PAC ID: 4587945233 Enrollment ID: I20190819004062 |
| Provider Name | Sheppard Joe Peng |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376962035 PECOS PAC ID: 3577892363 Enrollment ID: I20190903003304 |
| Provider Name | Christopher Robert Taglia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538562202 PECOS PAC ID: 7315276011 Enrollment ID: I20190905001622 |
| Provider Name | Robin Leah Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629529557 PECOS PAC ID: 4789961335 Enrollment ID: I20191011001868 |
| Provider Name | Ross Alan Vanderhoof |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770994824 PECOS PAC ID: 9739512369 Enrollment ID: I20191211003004 |
| Provider Name | Michael Alan Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154768695 PECOS PAC ID: 4082039383 Enrollment ID: I20200804001106 |
| Provider Name | Rachel Chamberlain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902293277 PECOS PAC ID: 9436496874 Enrollment ID: I20200911000728 |
| Provider Name | Hyojeong Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790433910 PECOS PAC ID: 0648653048 Enrollment ID: I20220817003824 |
| Provider Name | Christine A Mcreynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093448060 PECOS PAC ID: 1052788494 Enrollment ID: I20221027002831 |
| Provider Name | Miranda J Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073230769 PECOS PAC ID: 6507236668 Enrollment ID: I20230111001368 |
| Provider Name | Milani Sivagnanam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174937106 PECOS PAC ID: 2062703812 Enrollment ID: I20230301001824 |
| Provider Name | Justin Kaeen Chang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316301526 PECOS PAC ID: 8325330327 Enrollment ID: I20231129000915 |
| Provider Name | Melanie Dawn Tucker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730610031 PECOS PAC ID: 1759725724 Enrollment ID: I20240217000289 |
| Provider Name | Ayano Itoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013792670 PECOS PAC ID: 7810333630 Enrollment ID: I20240314001673 |
| Provider Name | Diane C. Pryor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154432128 PECOS PAC ID: 8820532120 Enrollment ID: I20240627001940 |
| Provider Name | Paige Bradshaw-terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922872621 PECOS PAC ID: 3779027479 Enrollment ID: I20240705002092 |
| Provider Name | William Ganske |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952887234 PECOS PAC ID: 4082064761 Enrollment ID: I20240729002650 |
| Provider Name | David Ivan Bermejo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831723618 PECOS PAC ID: 9436539665 Enrollment ID: I20240904002184 |
| Provider Name | Yvonne M Wolny |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710919782 PECOS PAC ID: 5395745590 Enrollment ID: I20240909003542 |
| Provider Name | Steven J Prueitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386278455 PECOS PAC ID: 0547689564 Enrollment ID: I20241008004000 |
Santa Barbara County Auditor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N R St, Lompoc, CA 93436 Phone: 805-737-6400 Fax: 805-737-6458 | |
Rahim A Raoufi, Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 228 S D St, Suite B, Lompoc, CA 93436 Phone: 208-667-9334 Fax: 208-664-2341 | |
Lompoc Valley Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 South C Street, Lompoc, CA 93436 Phone: 805-737-3321 Fax: 805-737-3389 | |
Central Coast Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 119 S B St, Lompoc, CA 93436 Phone: 805-740-9400 Fax: 805-741-2640 | |
Dale Ekstrum Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 W Central Ave, Suite G, Lompoc, CA 93436 Phone: 805-735-4292 Fax: 805-735-4293 | |
Community Health Centers Of The Central Coast Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1300 W Ocean Ave, Lompoc, CA 93436 Phone: 805-737-1169 Fax: 805-737-1772 | |
Santa Barbara County County Auditor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N R St, Lompoc, CA 93436 Phone: 805-737-6400 Fax: 805-737-6425 |