Individual provider Active NPI

William H Gausman Jr., M.D.

  • Family Medicine Physician
  • Lompoc, CA
National Provider Identifier
1780692814
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C19556 Issued in CA
Practice address
136 N 3Rd St
Lompoc, CA 93436-7002
Phone
(805) 736-1253
Fax
(805) 736-3193
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C19556 CA Primary
Anesthesiology Physician 207L00000X C19556 CA

Addresses

Primary practice location

136 N 3Rd St
Lompoc, CA 93436-7002

Mailing address

136 N 3Rd St
Lompoc, CA 93436-7002
Phone (805) 736-1253

Other identifiers 2

IdentifierTypeStateIssuer
GR0058550MedicaidCA
ZZZ37313ZMedicaidCA

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
I20080811000573 CA Practitioner - Anesthesiology 1658445515 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19556CAMDClinical Neuropsychologist
C19556CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lompoc Valley Anesthesia Associates Anesthesiology CurrentSince Nov 1, 1993 Accepting new patients

Locations

136 N 3rd St
Lompoc, CA 93436
Phone (805) 736-1253

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

2674 E Main St
Ste E306
Ventura, CA 93003

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1780692814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N 3RD ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367002",
            "telephone_number": "805-736-1253",
            "fax_number": "805-736-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N 3RD ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367002",
            "telephone_number": "805-736-1253",
            "fax_number": "805-736-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUSMAN",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C19556",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C19556",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0058550",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ37313Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

Verify at the official NPI Registry.