Cardiovascular Center of Lompoc a Medical Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

C31374 Issued in CA

Legal business name

CARDIOVASCULAR CENTER OF LOMPOC A MEDICAL CORPORATION

Practice address

136 N 3Rd St Ste 1
Lompoc, CA 93436-7002

Phone

(805) 735-7771

Fax

(805) 735-9911

NPI assigned

Jul 16, 2006

Last updated

Nov 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Barry John Coughlin, M.D, F.A.C.C.NPI 1205812468

Title

President

Phone

(805) 735-7771

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barry John Coughlin, MD FACC

  • Cardiovascular Disease Physician
  • Lompoc, CA
  • NPI 1205812468
  NPD (past) Authorized official
• Khawar Mahmood Gul, MD

  • Internal Medicine Physician
  • Lompoc, CA
  • NPI 1538296744
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1124045059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934380567",
            "telephone_number": "805-736-1875",
            "fax_number": "805-735-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N 3RD ST STE 1",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367002",
            "telephone_number": "805-735-7771",
            "fax_number": "805-735-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CENTER OF LOMPOC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "COUGHLIN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-735-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D, F.A.C.C."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "C31374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ38994Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C313740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Callahan
• Jeani Callan, MA
• Calm, Inc.
• Katarzyna Calow
• Arthur Campbell
• Yahary Cardona-Bautista
• Care Medical, a California Corporation (Valley Care Medical)
• Brian Matthew Carey, D.D.S.
• David Lee Carey, D.D.S.
• Ramiro Carlos Jr.

• Clinical Medical Laboratory in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.