Individual provider Active NPI

Megan Novotny, PA-C

  • Physician Assistant
  • Santa Maria, CA
National Provider Identifier
1215466354
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
54655 Issued in CA
Practice address
2271 S Depot St
Santa Maria, CA 93455-1216
Phone
(805) 739-3805
Fax
(805) 739-3806
NPI assigned
Jun 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 54655 CA Primary

Addresses

Primary practice location

2271 S Depot St
Santa Maria, CA 93455-1216

Mailing address

2271 S Depot St
Santa Maria, CA 93455-1216
Phone (805) 739-3805

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170908001332 CA Practitioner - Physician Assistant 2264705573 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lompoc Valley Medical CenterGroup PAC ID 9739275595, 90 clinicians

Practice addresses (Care Compare)

1102 E Clark Ave
Suite 120a
Santa Maria, CA 93455-5175
Phone (805) 332-8185

1225 N H St
Lompoc, CA 93436-3301
Phone (805) 737-8700

1510 E Main St
Suite 104 C
Santa Maria, CA 93454-4825
Phone (805) 349-8514

1515 E Ocean Ave
Lompoc, CA 93436-7092
Phone (805) 737-3321

235 S Palisade Dr
Santa Maria, CA 93454-5906
Phone (805) 739-3561

877 Oak Park Blvd
Pismo Beach, CA 93449-3292
Phone (805) 474-8450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
54655CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Jul 1, 2020 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Aug 6, 2018 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Aug 6, 2018 Accepting new patients
Lompoc Valley Medical Center CurrentSince Jul 1, 2025 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300

136 N 3rd St
Lompoc, CA 93436
Phone (805) 736-1253

1225 N H St
Lompoc, CA 93436
Phone (805) 737-8700

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474

206 S Stratford Ave
Santa Maria, CA 93454
Phone (805) 845-6611

1102 E Clark Ave
Ste 120A
Santa Maria, CA 93455
Phone (805) 332-8185

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000

1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1497139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1215466354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 S DEPOT ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551216",
            "telephone_number": "805-739-3805",
            "fax_number": "805-739-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 S DEPOT ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551216",
            "telephone_number": "805-739-3805",
            "fax_number": "805-739-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOTNY",
        "first_name": "MEGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-11",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.