Organization Active NPI

Vaginal and Pelvic Surgeons, Inc

  • Oncology Clinic/Center
  • Santa Maria, CA
National Provider Identifier
1164077566
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
Legal business name
VAGINAL AND PELVIC SURGEONS, INC
Practice address
1325 E Church St
Santa Maria, CA 93454-5909
Phone
(805) 219-4673
NPI assigned
Aug 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Dr. Christopher Lutman, MD
Title
Medical Director
Phone
(614) 315-7976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X Primary

Addresses

Primary practice location

1325 E Church St
Santa Maria, CA 93454-5909

Mailing address

461 Islay St
San Luis Obispo, CA 93401-4341

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Cerner Dignity Community Care

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1164077566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 ISLAY ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E CHURCH ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545909",
            "telephone_number": "805-219-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAGINAL AND PELVIC SURGEONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-03",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "LUTMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "614-315-7976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cerner",
            "affiliation": "Y",
            "affiliationName": "Dignity Community Care",
            "address_1": "1400 S Grand Ave Ste 600",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900153048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.