Individual provider Active NPI

Kiele Teresa Mohre, DO

  • Pediatrics Physician
  • Lompoc, CA
National Provider Identifier
1043902745
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0102208938 Issued in VA
Practice address
338 S Dakota Ave BLDG 13850
Lompoc, CA 93437-6307
Phone
(805) 606-2273
NPI assigned
May 22, 2023
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0102208938 VA Primary

Addresses

Primary practice location

338 S Dakota Ave BLDG 13850
Lompoc, CA 93437-6307

Mailing address

338 S Dakota Ave BLDG 13850
Lompoc, CA 93437-6307
Phone (805) 606-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124001052 VA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1456843853

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102208938VAMDPediatrics Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1043902745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 S DAKOTA AVE BLDG 13850",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934376307",
            "telephone_number": "805-606-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 S DAKOTA AVE BLDG 13850",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934376307",
            "telephone_number": "805-606-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHRE",
        "first_name": "KIELE",
        "middle_name": "TERESA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102208938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

Verify at the official NPI Registry.