Active NPI
Michael Alan Dixon, LCSW
- Clinical Social Worker
- Lompoc, CA
National Provider Identifier
1154768695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 36491
- Practice address
- 136 N 3Rd St
Lompoc, CA 93436-7002 - Phone
- (805) 875-8960
- Fax
- (805) 736-5355
- NPI assigned
- May 23, 2013
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 36491 | CA | Primary |
Addresses
Primary practice location
136 N 3Rd St
Lompoc, CA 93436-7002
Mailing address
136 N 3Rd St
Lompoc, CA 93436-7002
Phone (805) 875-8960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154768695 | Other | CA | TRI CARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Nothingsignificant | Direct |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
136 N 3Rd St
Lompoc, CA 93436-7002
Phone (805) 737-3300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lompoc Valley Medical Center | Current | Accepting new patients | |
| Lompoc Valley Medical Center | Current | Accepting new patients |
Locations
136 N 3rd St
Lompoc, CA 93436
Phone (805) 736-1253
1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300
Interoperability endpoints
- michael.dixon@lvmc.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- General Practice Physician
- Lompoc, CA
- NPI 1649282856
-
- General Acute Care Hospital
- Lompoc, CA
- NPI 1194711952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1154768695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 N 3RD ST",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934367002",
"telephone_number": "805-875-8960",
"fax_number": "805-736-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 N 3RD ST",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934367002",
"telephone_number": "805-875-8960",
"fax_number": "805-736-5355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "MICHAEL",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-23",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "36491",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI CARE",
"identifier": "1154768695",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Nothingsignificant",
"affiliation": "N",
"endpointDescription": "Nothingsignificant",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Nothing",
"address_1": "136 N 3rd St",
"city": "Lompoc",
"state": "CA",
"country_code": "US",
"postal_code": "934367002",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 29, 2022; 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.
- 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.