Organization Active NPI

Christopher V Lutman MD a California Medical Corporation

  • Gynecologic Oncology Physician
  • Pismo Beach, CA
National Provider Identifier
1639700727
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
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

Updated by the provider on May 8, 2020

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)CodeLicenseStatePrimary
Gynecologic Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CB342708OtherCAMEDICARE GROUP

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.