Active NPI
Gyve Laurent Hamidi, DMD
- Dentist
- Lompoc, CA
National Provider Identifier
1053807446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 103745
- Practice address
- 719 E Ocean Ave
Lompoc, CA 93436 - Phone
- (805) 735-2702
- NPI assigned
- Jul 9, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 103745 | CA | Primary |
Addresses
Primary practice location
719 E Ocean Ave
Lompoc, CA 93436
Mailing address
336 S Crescent Dr
Beverly Hills, CA 90212-4503
Phone (914) 441-8395
Other practice location 1
830 Chalkstone Ave Bldg 2
Providence, RI 02908-4734
Phone (401) 457-3018 ext. 4296
Other practice location 2
1919 State St Ste 102
Santa Barbara, CA 93101-0406
Phone (805) 884-1874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 4, 2025 through Nov 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103745 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1053807446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 S CRESCENT DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902124503",
"telephone_number": "914-441-8395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 E OCEAN AVE",
"city": "LOMPOC",
"state": "CA",
"postal_code": "93436",
"telephone_number": "805-735-2702"
}
],
"practiceLocations": [
{
"address_1": "830 Chalkstone Ave Bldg 2",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029084734",
"country_code": "US",
"telephone_number": "401-457-3018 x4296",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1919 State St Ste 102",
"address_purpose": "LOCATION",
"city": "Santa Barbara",
"state": "CA",
"postal_code": "931010406",
"country_code": "US",
"telephone_number": "805-884-1874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMIDI",
"first_name": "GYVE",
"middle_name": "LAURENT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-09",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "103745",
"primary": true
}
],
"identifiers": [],
"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 Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.