Lompoc Artificial Kidney Center, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

080000674 Issued in CA

Legal business name

LOMPOC ARTIFICIAL KIDNEY CENTER, LLC

Practice address

127 W Pine Ave
Lompoc, CA 93436-4023

Phone

(805) 563-0090

Fax

(805) 563-2643

NPI assigned

Feb 22, 2007

Last updated

Sep 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Juana Murillo

Title

Billing Coordinator

Phone

(805) 563-0090

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Lompoc Artificial Kidney Center, LLCCCN 052838

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Oct 10, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

18

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Francis Dante Antigua, NP

  • Adult Health Nurse Practitioner
  • Santa Maria, CA
  • NPI 1346777695
  NPD (past)
• Bindu M Kamal, MD

  • Nephrology Physician
  • Santa Barbara, CA
  • NPI 1184718215
  NPD (past)
• Lillian H Pak, FNP-C

  • Family Nurse Practitioner
  • Lompoc, CA
  • NPI 1629690946
  NPD (past)
• Marcelino Clapano Maglinte Jr., FNP

  • Family Nurse Practitioner
  • Olympia, WA
  • NPI 1114800802
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Bindu M Kamal, MD

  • Nephrology Physician
  • Santa Barbara, CA
  • NPI 1184718215

  Dialysis facility

  Care Compare affiliation Name & address match
• Andrew Gregory Ross, M.D.

  • Nephrology Physician
  • Orange, CA
  • NPI 1932543998

  Dialysis facility

  Care Compare affiliation Name & address match
• Milani Sivagnanam, M.D.

  • Nephrology Physician
  • Munster, IN
  • NPI 1174937106

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1770618571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012522",
            "telephone_number": "805-563-0090",
            "fax_number": "805-563-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W PINE AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934364023",
            "telephone_number": "805-563-0090",
            "fax_number": "805-563-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMPOC ARTIFICIAL KIDNEY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "MURILLO",
        "authorized_official_first_name": "JUANA",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "805-563-0090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "080000674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC02838F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Littleclubhouse Academy (Doula 911)
• Ximena Andrea Lizama
• Joseph Jerome Lockhart, PH.D.
• Kaitlyn Aminah Brooke Logan, DDS
• Lompoc Anesthesia Services, PC
• Lompoc Hospitalist Group PC
• Lompoc Misc
• Lompoc Orthopedic Medical Clinic
• Lompoc Surgery Center LLC
• Lompoc Unified School District

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lompoc, CA
• Providers in Lompoc, CA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.