Gilbert Owen Andersen, M.D.
Individual provider Active NPI Internal Medicine Physician · Lompoc, CA
NPI 1821091836 · NPPES record last updated Nov 29, 2016
Key facts
- NPI
- 1821091836
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A29916 (CA)
- Practice address
- 136 N 3Rd St
Lompoc, CA 93436-7002 - Phone
- (805) 736-1253
- Fax
- (805) 736-5355
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of California, Irvine, California College of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lompoc Valley Medical Center
Practice addresses (Care Compare)
1225 N H St
Lompoc, CA 93436-3301
Phone (805) 737-8700
Hospital & facility affiliations
- Lompoc Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Colonoscopy | 24 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040527001372 | CA | Practitioner - Internal Medicine | 9537140249 |
Reassigns benefits to 1 organization Practice locations: Lompoc, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A29916 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lompoc Valley Medical Center | Past | Accepting new patients | |
| David Lam MD, PA | Past | Accepting new patients |
Interoperability endpoints
- gilbert.andersen@lvmc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A29916 | CA | Yes |
Addresses
Primary practice location
136 N 3Rd St
Lompoc, CA 93436-7002
Mailing address
PO Box 2700
Lompoc, CA 93438-2700
Phone (805) 736-1253
Other providers in Lompoc, CA
- Ivan Dejesus Alvarez
- Jon Amate
- Amer RX Inc
- Amro Shakker Amer
- Kasey Elaine Amick I
- Ingrid Ramona Anderson
- Kristen Anderson
- Tyler Anglim
- Lorena Jaime Anguiano
- Another Road Detox
All providers in Lompoc, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.