NPIMap

Organization Active NPI

Lompoc Valley Medical Center

Doing business as Convalescent Care Center

  • Skilled Nursing Facility
  • Lompoc, CA
National Provider Identifier
1376539130
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LOMPOC VALLEY MEDICAL CENTER
Doing business as
Convalescent Care Center
Practice address
216 N 3Rd St
Lompoc, CA 93436-6104
Phone
(805) 737-3367
NPI assigned
Sep 26, 2005
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Mr. Dustin Cheney
Title
Cfo
Phone
(805) 737-3306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

216 N 3Rd St
Lompoc, CA 93436-6104

Mailing address

216 N 3Rd St
Lompoc, CA 93436-6104
Phone (805) 737-3367

Other identifiers 3

IdentifierTypeStateIssuer
ZZT30110FMedicaidCA
ZZT05256GMedicaidCA
ZZT40110FMedicaidCA

Other names 1

  • Convalescent Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071010000873 CA Part A Provider - Skilled Nursing Facility 9739275595 Practice locations: Lompoc, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376539130. Details of each certification follow.

Skilled nursing facility certification: CCN 055256

Legal name
LOMPOC VALLEY MEDICAL CENTER
Doing business as
LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Feb 6, 2025
Beds
110
Ownership / control type
Hospital District
Organization structure
OtherNon-profit
Enrollment address
216 N 3Rd St
Lompoc, CA 93436-6104
Nursing home name
LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE CENTER D/P SNF

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lompoc Valley Medical Center Comprehensive Care CeCCN 055256 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11099.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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
05D0862840Lompoc Convalescent Care Center216 N Third Street, Lompoc, CA 93436Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Lompoc Hosp Dist4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Leland W Mills Individual Operational/Managerial Control Jan 4, 2015
James J Raggio Individual Operational/Managerial Control Jun 1, 1998
Dustin Cheney Individual Corporate Officer Jan 1, 2021
Operational/Managerial Control Dec 14, 2014
Adp of the SNF Jan 1, 2021
Yvette Cope Individual Corporate OfficerCeo Sep 4, 2024
Operational/Managerial Control Sep 4, 2024
Adp of the SNF Sep 4, 2024
Rollin C Bailey Individual Corporate DirectorMedical Director Jan 1, 1990
Deborah Rock Individual Corporate DirectorDirector of Revenue Cycle Oct 13, 2024
Operational/Managerial Control Apr 2, 1985
Adp of the SNF Apr 2, 1985
Joseph Femenella Individual Operational/Managerial Control Jul 15, 2017
Lompoc Valley Medical Center Organization, Lompoc, CA Operational/Managerial Control Jan 1, 1967
Trustee of the SNF Jan 1, 1967
Adp of the SNF Mar 25, 2026
Direct Ownership Interest Jan 1, 1967 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lompoc Health Care DistrictLompoc, CA, CCN 050110 Hospital Operational/Managerial Control Jan 1, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1376539130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N 3RD ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366104",
            "telephone_number": "805-737-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N 3RD ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366104",
            "telephone_number": "805-737-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMPOC VALLEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "CHENEY",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "805-737-3306",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT30110F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05256G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT40110F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Convalescent Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Convalescent Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lompoc, CA

Sources for this page

Verify at the official NPI Registry.