Active NPI
Federal Correctional Complex Lompoc
- Prison Health Clinic/Center
- Lompoc, CA
National Provider Identifier
1801430418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prison Health Clinic/Center
- Legal business name
- FEDERAL CORRECTIONAL COMPLEX LOMPOC
- Practice address
- 3901 Klein Blvd
Lompoc, CA 93436-2706 - Phone
- (805) 735-2771
- Fax
- (805) 737-3105
- NPI assigned
- Nov 6, 2019
- Organization subpart
- Yes
- Parent organization
- FEDERAL BUREAU OF PRISONS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence Cross
- Title
- Health System Administrator
- Phone
- (805) 735-2771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prison Health Clinic/Center | 261QP2400X | Primary |
Addresses
Primary practice location
3901 Klein Blvd
Lompoc, CA 93436-2706
Mailing address
3901 Klein Blvd
Lompoc, CA 93436-2706
Phone (805) 735-2771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01 | Other | FEDERAL PRISON |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | BEMR | Direct |
National Provider Directory
National Provider Directory- Part of
- Fbop Metropolitan Detention Center
Locations
3901 Klein Blvd
Lompoc, CA 93436
Phone (805) 735-2771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572998400000",
"number": "1801430418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 KLEIN BLVD",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934362706",
"telephone_number": "805-735-2771",
"fax_number": "805-737-3105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 KLEIN BLVD",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934362706",
"telephone_number": "805-735-2771",
"fax_number": "805-737-3105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FEDERAL CORRECTIONAL COMPLEX LOMPOC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FEDERAL BUREAU OF PRISONS",
"enumeration_date": "2019-11-06",
"last_updated": "2019-11-06",
"status": "A",
"authorized_official_last_name": "CROSS",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "HEALTH SYSTEM ADMINISTRATOR",
"authorized_official_telephone_number": "805-735-2771"
},
"taxonomies": [
{
"code": "261QP2400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Prison Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL PRISON",
"identifier": "01",
"state": null
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "BEMR",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3901 Klein Blvd",
"city": "Lompoc",
"state": "CA",
"country_code": "US",
"postal_code": "934362706",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lompoc, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.