Organization Active NPI

Lompoc Valley Pediatric Care Center

  • Primary Care Clinic/Center
  • Lompoc, CA
National Provider Identifier
1487719894
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A43842 Issued in CA
Legal business name
LOMPOC VALLEY PEDIATRIC CARE CENTER
Practice address
1111 E Ocean Ave
Suite 6
Lompoc, CA 93436-7076
Phone
(805) 736-4970
Fax
(805) 736-7592
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cindy Blifeld, MDNPI 1265568364
Title
Owner
Phone
(805) 736-4970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A43842 CA Primary

Addresses

Primary practice location

1111 E Ocean Ave
Suite 6
Lompoc, CA 93436-7076

Mailing address

1111 E Ocean Ave
Suite 6
Lompoc, CA 93436-7076
Phone (805) 736-4970

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
05D0985656Lompoc Valley Pediatric Care Center1111 E Ocean Ste 6, Lompoc, CA 93436Provider-performed microscopyApr 24, 2027

National Provider Directory

National Provider Directory

Locations

1111 E Ocean Ave
Ste 6
Lompoc, CA 93436
Phone (805) 736-4970

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487719894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E OCEAN AVE",
            "address_2": "SUITE 6",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367076",
            "telephone_number": "805-736-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E OCEAN AVE",
            "address_2": "SUITE 6",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367076",
            "telephone_number": "805-736-4970",
            "fax_number": "805-736-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMPOC VALLEY PEDIATRIC CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLIFELD",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-736-4970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A43842",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.