Mission Orthopedics Surgery and Sports Medicine

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

MISSION ORTHOPEDICS SURGERY AND SPORTS MEDICINE

Practice address

1201 E Ocean Ave
Suite B
Lompoc, CA 93436-7081

Phone

(805) 963-3336

Fax

(805) 564-3332

NPI assigned

Aug 21, 2006

Last updated

Aug 22, 2020By 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

Dr. Colvin Clay Wellborn, MDNPI 1760478259

Title

President

Phone

(805) 963-3336

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Colvin Clay Wellborn, M.D.

  • Orthopaedic Surgery Physician
  • Arlington, VA
  • NPI 1760478259
  NPD (past) Authorized official

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770699282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50706",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931500706",
            "telephone_number": "805-963-3336",
            "fax_number": "805-564-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E OCEAN AVE",
            "address_2": "SUITE B",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367081",
            "telephone_number": "805-963-3336",
            "fax_number": "805-564-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION ORTHOPEDICS SURGERY AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELLBORN",
        "authorized_official_first_name": "COLVIN",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-963-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward M. Mikowicz, D.D.S.
• Angela Frances Milholland
• Rosemarie Miller, LAADC
• Oboli Minasse, PHAMD
• Alexia Yaire Miranda
• Damani Muata Mitchell, DDS
• James Edward Mitchell
• Jeremy Mitchell
• Shereen Mizany, OTR / L, MOT
• Haley Mogensen

• Sports Medicine (Orthopaedic Surgery) Physician in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.