Organization Active NPI

Khawar Mahmood Gul, M.D. Inc., a Medical Corporation

  • Cardiovascular Disease Physician
  • Lompoc, CA
National Provider Identifier
1851684708
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A89941 Issued in CA
Legal business name
KHAWAR MAHMOOD GUL, M.D. INC., A MEDICAL CORPORATION
Doing business as
Lompoc Valley Cardiovascular Center
Practice address
136 N Third St Ste 1
Lompoc, CA 93436-7002
Phone
(805) 735-7771
Fax
(805) 735-9911
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Karen M Hinton
Title
Business Office Manager
Phone
(805) 736-1875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A89941 CA Primary

Addresses

Primary practice location

136 N Third St Ste 1
Lompoc, CA 93436-7002

Mailing address

PO Box 607
Lompoc, CA 93438-0607
Phone (805) 736-1875

Other identifiers 1

IdentifierTypeStateIssuer
DS620ZOtherCAMEDICARE PTAN

Other names 1

  • Lompoc Valley Cardiovascular Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110908002213 CA Part B Supplier - Clinic/Group Practice 3274703814 Receives reassigned benefits from 1 practitioner
Practice locations: Lompoc, CA

National Provider Directory

National Provider Directory

Locations

136 N 3rd St
#1
Lompoc, CA 93436
Phone (805) 735-7771

136 N 3rd St
Ste 1
Lompoc, CA 93436
Phone (805) 735-7771

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1851684708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934380607",
            "telephone_number": "805-736-1875",
            "fax_number": "805-735-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N THIRD ST STE 1",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367002",
            "telephone_number": "805-735-7771",
            "fax_number": "805-735-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAWAR MAHMOOD GUL, M.D. INC., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "HINTON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "805-736-1875"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A89941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DS620Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lompoc Valley Cardiovascular Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.