Active NPI
Lompoc Anesthesia Services, PC
- Anesthesiology Physician
- Lompoc, CA
National Provider Identifier
1528794823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- LOMPOC ANESTHESIA SERVICES, PC
- Practice address
- 1515 E Ocean Ave
Lompoc, CA 93436-7092 - Phone
- (805) 737-3300
- NPI assigned
- Jul 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Larsen
- Title
- Director of Credentialing
- Phone
- (770) 874-5400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
1515 E Ocean Ave
Lompoc, CA 93436-7092
Mailing address
5665 New Northside Dr Ste 320
Atlanta, GA 30328-5834
Phone (770) 874-4500
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658966400000",
"number": "1528794823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 NEW NORTHSIDE DR STE 320",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285834",
"telephone_number": "770-874-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 E OCEAN AVE",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934367092",
"telephone_number": "805-737-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOMPOC ANESTHESIA SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-28",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A",
"authorized_official_last_name": "LARSEN",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "770-874-5400"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"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 Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.