Active NPI
Abhishek Mehta, MBBS
- Pediatrics Physician
- Lompoc, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A147857
- Practice address
- 1225 N H St
Lompoc, CA 93436 - Phone
- (805) 737-8760
- Fax
- (805) 681-1768
- NPI assigned
- May 22, 2012
- Last updated
- Sep 25, 2018
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A147857 | CA | Primary |
Addresses
Primary practice location
1225 N H St
Lompoc, CA 93436
Mailing address
PO Box 62106
Santa Barbara, CA 93160-2106
Phone (805) 737-8760
Other practice location 1
3901 Rainbow Blvd # MS 4004
Kansas City, KS 66103-2937
Phone (913) 588-6917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A147857 | Other | CA | STATE LICENSE NUMBER |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A147857 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lompoc Valley Medical Center | Pediatrics | Current | Accepting new patients |
Locations
1225 N H St
Lompoc, CA 93436
Phone (805) 737-8700
136 N 3rd St
Lompoc, CA 93436
Phone (805) 736-1253
1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- abhishek.mehta@lvmc.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1255691341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62106",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931602106",
"telephone_number": "805-737-8760",
"fax_number": "805-681-1768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 N H ST",
"city": "LOMPOC",
"state": "CA",
"postal_code": "93436",
"telephone_number": "805-737-8760",
"fax_number": "805-681-1768"
}
],
"practiceLocations": [
{
"address_1": "3901 Rainbow Blvd # MS 4004",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661032937",
"country_code": "US",
"telephone_number": "913-588-6917",
"fax_number": "913-588-6280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHTA",
"first_name": "ABHISHEK",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-22",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A147857",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "A147857",
"state": "CA"
}
],
"endpoints": [],
"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 25, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.