Active NPI
Christopher V Lutman MD a California Medical Corporation
- Gynecologic Oncology Physician
- Pismo Beach, CA
National Provider Identifier
1639700727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- Legal business name
- CHRISTOPHER V LUTMAN MD A CALIFORNIA MEDICAL CORPORATION
- Practice address
- 2 James Way Ste 109
Pismo Beach, CA 93449-4974 - Phone
- (805) 416-0600
- NPI assigned
- Jan 28, 2020
- 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
- Christopher V Lutman, M.D.
- Title
- M.D.
- Phone
- (614) 315-7976
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | Primary |
Addresses
Primary practice location
2 James Way Ste 109
Pismo Beach, CA 93449-4974
Mailing address
1130 E Clark Ave Ste 150
Santa Maria, CA 93455-5178
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB342708 | Other | CA | MEDICARE GROUP |
National Provider Directory
National Provider DirectoryLocations
1130 E Clark Ave
Ste 150
Santa Maria, CA 93455
Phone (805) 283-9522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588896000000",
"number": "1639700727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 E CLARK AVE STE 150",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934555178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 JAMES WAY STE 109",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934494974",
"telephone_number": "805-416-0600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTOPHER V LUTMAN MD A CALIFORNIA MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-28",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A",
"authorized_official_last_name": "LUTMAN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "614-315-7976",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "CB342708",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pismo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.