Individual provider Active NPI

Howard John Gregersen, M.D.

  • Internal Medicine Physician
  • Lompoc, CA
National Provider Identifier
1467474999
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A52744 Issued in CA
Practice address
301 N R St
Lompoc, CA 93436-5226
Phone
(805) 737-6400
Fax
(805) 737-6430
NPI assigned
Jul 24, 2006
Last updated
Mar 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A52744 CA Primary

Addresses

Primary practice location

301 N R St
Lompoc, CA 93436-5226

Mailing address

300 N San Antonio Rd
Santa Barbara, CA 93110-1316
Phone (805) 681-5461

Other identifiers 2

IdentifierTypeStateIssuer
A52744OtherCAMED LICENSE
00A527440MedicaidCA

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
I20050713000603 CA Practitioner - Internal Medicine 1254367071 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A52744CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara County Auditor Current Accepting new patients
Santa Barbara County Auditor CurrentSince Aug 1, 1994 Accepting new patients
Santa Barbara County Auditor CurrentSince Aug 1, 1994 Accepting new patients

Locations

931 Walnut Ave
Carpinteria, CA 93013
Phone (805) 560-1050

301 N R St
Lompoc, CA 93436
Phone (805) 737-6400

1136 E Montecito St
Santa Barbara, CA 93103
Phone (805) 568-2099

300 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 681-5220

300 N San Antonio Rd
Fl 2
Santa Barbara, CA 93110

300 N San Antonio Rd
Rm 107
Santa Barbara, CA 93110
Phone (805) 681-5461

345 Camino del Remedio
Santa Barbara, CA 93110
Phone (805) 681-5214

2115 Centerpointe Pkwy
Santa Maria, CA 93455
Phone (805) 346-7230

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1467474999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N SAN ANTONIO RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101316",
            "telephone_number": "805-681-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N R ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934365226",
            "telephone_number": "805-737-6400",
            "fax_number": "805-737-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGERSEN",
        "first_name": "HOWARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LICENSE",
            "identifier": "A52744",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A527440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

Verify at the official NPI Registry.