Organization Active NPI

Dale Ekstrum MD Inc

Doing business as Urgent Care Family Care

  • Family Medicine Physician
  • Lompoc, CA
National Provider Identifier
1316133358
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G69286 Issued in CA
Legal business name
DALE EKSTRUM MD INC
Doing business as
Urgent Care Family Care
Practice address
217 W Central Ave Ste a
Lompoc, CA 93436-2830
Phone
(805) 735-4999
Fax
(805) 294-1711
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Dr. Dale Ethan Ekstrum, MDNPI 1225106602
Title
Ceo
Phone
(805) 735-4292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G69286 CA Primary

Addresses

Primary practice location

217 W Central Ave Ste a
Lompoc, CA 93436-2830

Mailing address

217 W Central Ave
Suite G
Lompoc, CA 93436-2830
Phone (805) 735-4292

Other names 1

  • Urgent Care Family Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041020000374 CA Part B Supplier - Clinic/Group Practice 5799746152 Receives reassigned benefits from 1 practitioner
Practice locations: Lompoc, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2188725Dale Ekstrum MD Inc217 West Central Ave Ste a, Lompoc, CA 93436Provider-performed microscopyJul 20, 2028

National Provider Directory

National Provider Directory

Locations

217 W Central Ave
Ste G
Lompoc, CA 93436
Phone (805) 735-4292

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1316133358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W CENTRAL AVE",
            "address_2": "SUITE G",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934362830",
            "telephone_number": "805-735-4292",
            "fax_number": "805-735-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W CENTRAL AVE STE A",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934362830",
            "telephone_number": "805-735-4999",
            "fax_number": "805-294-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE EKSTRUM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "EKSTRUM",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "ETHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-735-4292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G69286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.