Active NPI
Kurt L Lundquist, M.D.
- Clinical Pathology/Laboratory Medicine Physician
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- G81268
- Practice address
- 3701 S Higuera St
Ste 200
San Luis Obispo, CA 93401-7462 - Phone
- (805) 541-6033
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chemical Pathology Physician | 207ZP0104X | G81268 | CA | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | G81268 | CA | Primary |
Addresses
Primary practice location
3701 S Higuera St
Ste 200
San Luis Obispo, CA 93401-7462
Mailing address
PO Box 8139
San Luis Obispo, CA 93403-8139
Phone (805) 541-6033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0058760 | Medicaid | CA | |
| 00G812680 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Jefferson Medical College of Thomas Jefferson University, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Technology Dr
Suite C523
Irvine, CA 92618-2341
Phone (805) 543-5000
215 Pesetas LN
Santa Barbara, CA 93110-1416
Phone (805) 543-5000
3440 Empresa Dr
Suite B
San Luis Obispo, CA 93401-7345
Phone (805) 543-5000
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.54 of 100
- Quality
- 77.08
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81268 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Pathology Services of the Central Coast | Current | Accepting new patients | |
| Western Diagnostic Services Laboratory, LLC | Current | Accepting new patients | |
| Western Pathology Inc | Current | Accepting new patients | |
| Pacific Point Laboratories, Inc. | Current | Accepting new patients | |
| Central Coast Pathology Consultants, Inc | Past | Accepting new patients |
Locations
10200 Pioneer Blvd
Ste 500
Santa Fe Springs, CA 90670
Phone (562) 906-5227
1414 E Main St
Ste 102
Santa Maria, CA 93454
Phone (805) 548-1550
1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000
3440 Empresa Dr
Ste B
Sn Luis Obisp, CA 93401
Phone (805) 543-5000
3701 S Higuera St
Ste 200
Sn Luis Obisp, CA 93401
Phone (805) 541-6033
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- San Luis Obispo, CA
- NPI 1780924233
-
- Anatomic Pathology & Clinical Pathology Physician
- Santa Maria, CA
- NPI 1942549068
-
- Clinical Medical Laboratory
- San Luis Obispo, CA
- NPI 1457341851
-
- Clinical Medical Laboratory
- Santa Maria, CA
- NPI 1497120653
-
- Clinical Medical Laboratory
- San Luis Obispo, CA
- NPI 1558320143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1437194131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8139",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934038139",
"telephone_number": "805-541-6033",
"fax_number": "805-549-7463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 S HIGUERA ST",
"address_2": "STE 200",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934017462",
"telephone_number": "805-541-6033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDQUIST",
"first_name": "KURT",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0104X",
"taxonomy_group": "",
"desc": "Pathology, Chemical Pathology",
"state": "CA",
"license": "G81268",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "CA",
"license": "G81268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0058760",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G812680",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.