Active NPI
Tomas Manuel Machin, MD
- Anatomic Pathology & Clinical Pathology Physician
- Lompoc, CA
National Provider Identifier
1013083765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A402330
- Practice address
- 508 E Hickory Street
Lompoc District Hospital
Lompoc, CA 93438-1058 - Phone
- (805) 737-5718
- Fax
- (805) 735-4027
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A402330 | CA | Primary |
Addresses
Primary practice location
508 E Hickory Street
Lompoc District Hospital
Lompoc, CA 93438-1058
Mailing address
PO Box 3857
San Luis Obispo, CA 93403-3857
Phone (800) 472-9116
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A402330 | Medicaid | CA | |
| GR0016631 | Medicaid | CA | |
| 1356409379 | Other | CA | GROUP NPI |
| 220018774 | Other | CA | RAILROAD MEDICARE |
| A402330 | Other | CA | MEDICAL BOARD OF CA |
| ZZZ42967Z | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40233 | CA | MD | General Practice Dentistry |
| A402330 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368662400000",
"number": "1013083765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3857",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934033857",
"telephone_number": "800-472-9116",
"fax_number": "805-439-0324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 E HICKORY STREET",
"address_2": "LOMPOC DISTRICT HOSPITAL",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934381058",
"telephone_number": "805-737-5718",
"fax_number": "805-735-4027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHIN",
"first_name": "TOMAS",
"middle_name": "MANUEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2013-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A402330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A402330",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0016631",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1356409379",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "220018774",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD OF CA",
"identifier": "A402330",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ42967Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lompoc, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.