Individual provider Active NPI

Philip Ente, MD

  • Neurology Physician
  • Lompoc, CA
National Provider Identifier
1366474819
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A42029 Issued in CA
Practice address
1111 E Ocean Ave
Suite 4a
Lompoc, CA 93436-7076
Phone
(805) 735-7623
Fax
(805) 735-7224
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A42029 CA Primary

Addresses

Primary practice location

1111 E Ocean Ave
Suite 4a
Lompoc, CA 93436-7076

Mailing address

1111 E Ocean Ave
Suite 4a
Lompoc, CA 93436-7076
Phone (805) 735-7623

Other practice location 1

300 Ucla Medical Plz Ste B200
Los Angeles, CA 90095-7076
Phone (310) 794-1195

Other identifiers 1

IdentifierTypeStateIssuer
00A420290MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090729000872 CA Practitioner - Neurology 3375696990 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1978
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lompoc Valley Medical CenterGroup PAC ID 9739275595, 90 clinicians
Arrowhead Neurosurgical Medical Group IncGroup PAC ID 7315900644, 9 clinicians

Practice addresses (Care Compare)

136 N 3Rd St
Lompoc, CA 93436-7002
Phone (805) 737-3300

26520 Cactus Ave
Suite A2006
Moreno Valley, CA 92555-3927
Phone (951) 486-4460

Hospital & facility affiliations

  • Lompoc Valley Medical Center Hospital, Lompoc, CA, CCN 050110
  • Redlands Community Hospital Hospital, Redlands, CA, CCN 050272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A42029CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Neurointensivists Inc CurrentSince May 1, 2022 Accepting new patients
Lompoc Valley Medical Center CurrentSince Aug 1, 2022 Accepting new patients
Arrowhead Neurosurgical Medical Group, Inc. CurrentSince Apr 11, 2015 Accepting new patients
Philip Ente MD Inc CurrentSince Sep 10, 2011 Accepting new patients
Lompoc Valley Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Redlands Community Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
UCLA Medical Group Neurology Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

1111 E Ocean Ave
Ste 4
Lompoc, CA 93436
Phone (805) 735-7623

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

1111 E Ocean Ave
Ste 4A
Lompoc, CA 93436
Phone (805) 568-7895

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

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

26520 Cactus Ave
Ste A2006
Moreno Valley, CA 92555
Phone (951) 486-4460

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

255 Terracina Blvd
#104B
Redlands, CA 92373

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

255 Terracina Blvd
Ste 104B
Redlands, CA 92373
Phone (909) 793-3293

821 E Chapel St
Ste 101
Santa Maria, CA 93454
Phone (805) 925-8703

323 Lennon Ln
Walnut Creek, CA 94598
Phone (925) 430-5335

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: philip.ente@lvmc.eclinicaldirectplus.com

Organizations & group practices 12

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1366474819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E OCEAN AVE",
            "address_2": "SUITE 4A",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367076",
            "telephone_number": "805-735-7623",
            "fax_number": "805-735-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E OCEAN AVE",
            "address_2": "SUITE 4A",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367076",
            "telephone_number": "805-735-7623",
            "fax_number": "805-735-7224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Ucla Medical Plz Ste B200",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900957076",
            "country_code": "US",
            "telephone_number": "310-794-1195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENTE",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A42029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A420290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

Verify at the official NPI Registry.