Individual provider Active NPI

Lawrence Steven Riemer, MD

  • Internal Medicine Physician
  • Sisseton, SD
National Provider Identifier
1700974813
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53752 Issued in CA
Practice address
100 Lake Traverse Dr
Sisseton, SD 57262-7046
Phone
(605) 698-7606
NPI assigned
Oct 11, 2006
Last updated
Oct 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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 53752 CA Primary

Addresses

Primary practice location

100 Lake Traverse Dr
Sisseton, SD 57262-7046

Mailing address

601 E Ocean
Ste 7
Lompoc, CA 93436-6910
Phone (805) 736-9477

Other practice location 1

601 E Ocean
Ste 7
Lompoc, CA 93436-6910
Phone (805) 736-9477

Other identifiers 2

IdentifierTypeStateIssuer
A26067OtherPIN
00A260670MedicaidCA

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
I20100802000872 CA Practitioner - Internal MedicinePractitioner - General Practice 1557494275 Reassigns benefits to 3 organizations
Practice locations: Lompoc, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53752CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara County Auditor CurrentSince May 1, 2023 Accepting new patients
Santa Barbara County Auditor Current Accepting new patients
Pacific Family Medicine Clinic Inc CurrentSince Nov 1, 2024 Accepting new patients
Santa Barbara County Auditor CurrentSince May 1, 2023 Accepting new patients
Lompoc Hospitalist Group PC CurrentSince Nov 20, 2024 Accepting new patients

Locations

1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300

1001 Broadway
Ste 302
Millbrae, CA 94030
Phone (415) 975-1255

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

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 5

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1700974813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E OCEAN",
            "address_2": "STE 7",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366910",
            "telephone_number": "805-736-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKE TRAVERSE DR",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572627046",
            "telephone_number": "605-698-7606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Ocean",
            "address_2": "Ste 7",
            "address_purpose": "LOCATION",
            "city": "Lompoc",
            "state": "CA",
            "postal_code": "934366910",
            "country_code": "US",
            "telephone_number": "805-736-9477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIEMER",
        "first_name": "LAWRENCE",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "53752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "A26067",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A260670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisseton, SD

Sources for this page

Verify at the official NPI Registry.