Active NPI
Dustin Ariel Ghormley, LPT
- Licensed Psychiatric Technician
- Lompoc, CA
National Provider Identifier
1396118659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 38175
- Practice address
- 401 E Cypress Ave
Lompoc, CA 93436-6806 - Phone
- (805) 864-1940
- Fax
- (805) 865-1954
- NPI assigned
- Nov 9, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 38175 | CA | Primary |
Addresses
Primary practice location
401 E Cypress Ave
Lompoc, CA 93436-6806
Mailing address
401 E Cypress Ave
Lompoc, CA 93436-6806
Phone (805) 864-1940
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38175 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1396118659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E CYPRESS AVE",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934366806",
"telephone_number": "805-864-1940",
"fax_number": "805-865-1954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E CYPRESS AVE",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934366806",
"telephone_number": "805-864-1940",
"fax_number": "805-865-1954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHORMLEY",
"first_name": "DUSTIN",
"middle_name": "ARIEL",
"credential": "LPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-09",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "38175",
"primary": true
}
],
"identifiers": [],
"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 Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.