Active NPI
Linda Washington Fory, MD
- Pediatrics Physician
- Lompoc, CA
National Provider Identifier
1073685814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A73101
- Practice address
- 425 W Central Ave Ste 201
Lompoc, CA 93436-2807 - Phone
- (372) 080-5737
- Fax
- (805) 737-1772
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD60481573 | WA | |
| Pediatrics Physician | 208000000X | A73101 | CA | Primary |
Addresses
Primary practice location
425 W Central Ave Ste 201
Lompoc, CA 93436-2807
Mailing address
2050 S Blosser Rd
Santa Maria, CA 93458-7310
Phone (805) 361-8028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A731010 | Medicaid | CA |
Other names 1
- Linda Karen Washington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A73101 | CA | MD | Pediatrics Physician |
| MD60481573 | WA | MD | Pediatrics Physician |
| 73101 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients |
Locations
4723 W Main St
Ste H
Guadalupe, CA 93434
Phone (805) 343-2004
425 W Central Ave
Ste 201
Lompoc, CA 93436
Phone (805) 681-5323
150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254
2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Oceano, CA
- NPI 1336166248
-
- Federally Qualified Health Center (FQHC)
- San Luis Obispo, CA
- NPI 1275553257
-
- Federally Qualified Health Center (FQHC)
- Lompoc, CA
- NPI 1326065103
-
- Federally Qualified Health Center (FQHC)
- Santa Maria, CA
- NPI 1447277355
-
- Federally Qualified Health Center (FQHC)
- Cambria, CA
- NPI 1881611705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1073685814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 S BLOSSER RD",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934587310",
"telephone_number": "805-361-8028",
"fax_number": "805-361-8097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W CENTRAL AVE STE 201",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934362807",
"telephone_number": "372-080-5737",
"fax_number": "805-737-1772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORY",
"first_name": "LINDA",
"middle_name": "WASHINGTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD60481573",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A73101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A731010",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "WASHINGTON",
"middle_name": "KAREN",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 17, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.