Active NPI
Patricia Anne Lipscomb, M.D., PH.D.
- Psychiatry Physician
- Nipomo, CA
National Provider Identifier
1326367418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G88626
- Practice address
- 921 Bea CT
Nipomo, CA 93444-6622 - Phone
- (805) 343-0605
- Fax
- (805) 343-0605
- NPI assigned
- May 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G88626 | CA | Primary |
Addresses
Primary practice location
921 Bea CT
Nipomo, CA 93444-6622
Mailing address
921 Bea CT
Nipomo, CA 93444-6622
Phone (805) 343-0605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G88626 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274918400000",
"number": "1326367418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 BEA CT",
"city": "NIPOMO",
"state": "CA",
"postal_code": "934446622",
"telephone_number": "805-343-0605",
"fax_number": "805-343-0605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 BEA CT",
"city": "NIPOMO",
"state": "CA",
"postal_code": "934446622",
"telephone_number": "805-343-0605",
"fax_number": "805-343-0605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPSCOMB",
"first_name": "PATRICIA",
"middle_name": "ANNE",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-27",
"last_updated": "2010-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G88626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nipomo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.