Individual provider Active NPI

Brian J Taber, M.D.

  • Family Medicine Physician
  • Lompoc, CA
National Provider Identifier
1811903131
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A61051 Issued in CA
Practice address
136 N 3Rd St
Lompoc, CA 93436-7002
Phone
(805) 736-1253
Fax
(805) 736-3193
NPI assigned
Jul 31, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A61051 CA Primary

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 1

IdentifierTypeStateIssuer
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
I20050304000840 CA Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 4486608171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
Creighton University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lompoc Valley Medical CenterGroup PAC ID 9739275595, 90 clinicians

Practice addresses (Care Compare)

136 N 3Rd St
Lompoc, CA 93436-7002
Phone (805) 737-3300

Hospital & facility affiliations

  • Superior Home Health Home health agency, Lompoc, CA, CCN 559004
  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Vna Health Home health agency, Santa Barbara, CA, CCN 057163
  • Dignity Health Home Health Home health agency, Santa Maria, CA, CCN 557038
  • Assisted Home Health Home health agency, Santa Barbara, CA, CCN 058324
  • Lompoc Valley Medical Center Hospital, Lompoc, CA, CCN 050110
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20
Upper gastrointestinal (GI) endoscopy for acid reflux13
Removal of skin lesions17
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A61051CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lompoc Valley Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: brian.taber@lvmc.eclinicaldirectplus.com

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1811903131",
    "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": "TABER",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A61051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "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.