NPIMap

Organization Active NPI

Lompoc Valley Medical Center

  • General Acute Care Hospital
  • Lompoc, CA
National Provider Identifier
1194711952
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
LOMPOC VALLEY MEDICAL CENTER
Practice address
1515 East Ocean
Lompoc, CA 93436-7337
Phone
(805) 737-3300
NPI assigned
Sep 26, 2005
Last updated
Dec 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Authorized official

Name
Mr. Robert Ondrizek
Title
Director of PFS
Phone
(805) 737-3321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

1515 East Ocean
Lompoc, CA 93436-7337

Mailing address

1515 East Ocean
Lompoc, CA 93436-7337
Phone (805) 737-3300

Other identifiers 3

IdentifierTypeStateIssuer
ZZT40110FMedicaidCA
ZZT05256GMedicaidCA
ZZT30110FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071010000295 CA Part A Provider - Hospital 9739275595 Practice locations: Lompoc, CA
O20090506000381 CA Part B Supplier - Clinic/Group Practice 9739275595 Receives reassigned benefits from 132 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lompoc, CA; Santa Maria, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194711952. Details of each certification follow.

Hospital certification: CCN 050110

Legal name
LOMPOC VALLEY MEDICAL CENTER
Doing business as
LOMPOC HEALTH CARE DISTRICT
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 5, 2023
Beds
170
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Incorporated
Jan 1, 1960 in CA
Enrollment address
1515 E Ocean Ave
Lompoc, CA 93436-7092
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Lompoc Valley Medical CenterCCN 050110 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 28

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lindsey Arevalos Individual W-2 Managing EmployeeDirector of Operations Aug 3, 2015
Brandy Bailey Individual W-2 Managing EmployeeAsso Director of Health Information Mar 27, 2002
Debra Alonzo Individual W-2 Managing EmployeeDirector Human Services Apr 22, 1988
Elham Novin Baheran Individual Corporate DirectorBoard Secretary Nov 1, 2018
Melinda Dehoyos Individual Corporate OfficerChief Nursing Officer Jul 11, 2011
James Stout Individual W-2 Managing EmployeeDirector of Diagnostic Imaging Aug 18, 1986
Amy McConnaughey Individual W-2 Managing EmployeeController Sep 16, 2015
Heather Woolsey Individual W-2 Managing EmployeeDirector of Marketing Dec 28, 2015
Richard Martin Individual W-2 Managing EmployeeDietary Services Manager Nov 4, 2024
Roger McConnell Individual Corporate DirectorBoard Director Nov 1, 2020
Aaron Poirier Individual W-2 Managing EmployeeDirector of Ambulatory and Acute Op Oct 1, 2018
Suzanne Nooney Individual W-2 Managing EmployeeDirector of Patient Access Jan 1, 2019
Christopher G Lumsdaine Individual Corporate DirectorBoard Director Nov 1, 2018
Michtell Greer Individual W-2 Managing EmployeeDirector of Facilities Apr 30, 2001
Brenda Goertz Individual W-2 Managing EmployeeDirector of Rehab Services Nov 7, 2018
Dustin Cheney Individual Corporate OfficerCfo Jan 4, 2021
Marla Zippay Individual W-2 Managing EmployeeDirector of Pharmacy Jul 27, 2021
Ryan Stevens Individual W-2 Managing EmployeeDirector of Ed Nov 14, 2011
Yvette Cope Individual Corporate OfficerCeo Oct 1, 2024
Ellisa Valencia Individual W-2 Managing EmployeeDirector Medical Surgical Unit Sep 15, 2020
Jeremy Farnum Individual W-2 Managing EmployeeDirector Information Systems Sep 2, 2008
Megan Ayala Individual W-2 Managing EmployeeDirector Clinic Laboratory Apr 17, 2017
Leslie Kelly Individual Corporate DirectorBoard President Nov 1, 2018
Deborah Rock Individual W-2 Managing EmployeeDirector of Revenue Cycle Apr 1, 1985
Anna Arifin Individual W-2 Managing EmployeeDirector of Quality Risk MGT Sep 23, 2025
Danielle Anzaldo Individual W-2 Managing EmployeeDirector of Case Management Jun 4, 2007
Mark Cordes Individual Corporate DirectorBoard Director Nov 1, 2024
Lompoc Valley Medical Center Organization, Lompoc, CA Non-profit Operational/Managerial Control Jan 1, 1966

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lompoc Valley Medical Center Comprehensive Care CenterLompoc, CA, CCN 055256 Skilled nursing facility Operational/Managerial Control
Trustee of the SNF
Adp of the SNF
Direct Ownership Interest (100%)		 Jan 1, 1967
Jan 1, 1967
Mar 25, 2026
Jan 1, 1967

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Lompoc Valley Medical Center

    dba Convalescent Care Center

    • Skilled Nursing Facility
    • Lompoc, CA
    • NPI 1376539130

    Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control, Trustee of the SNF

    CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

Affiliated clinicians 254

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 254

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1194711952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 EAST OCEAN",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367337",
            "telephone_number": "805-737-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 EAST OCEAN",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367337",
            "telephone_number": "805-737-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMPOC VALLEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "ONDRIZEK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR OF PFS",
        "authorized_official_telephone_number": "805-737-3321",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT40110F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05256G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT30110F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

Verify at the official NPI Registry.