Individual provider Active NPI

Mohammad A Tabek Bakir, M.D.

  • Pediatrics Physician
  • Lompoc, CA
National Provider Identifier
1902289515
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A153458 Issued in CA
Practice address
136 N 3Rd St
Lompoc, CA 93436-7099
Phone
(805) 736-1253
Fax
(805) 736-5355
NPI assigned
Jun 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A153458 CA Primary

Addresses

Primary practice location

136 N 3Rd St
Lompoc, CA 93436-7099

Mailing address

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

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
I20181010002882 CA Practitioner - Pediatric Medicine 0143572602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2014
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

National Provider Directory

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mtabekbakir8773@prd.direct.tbh.org
  • Direct secure messaging: mohammad.tabekbakir@lvmc.eclinicaldirectplus.com
  • Direct secure messaging: mbakir1147447@oc.providencedirect.org

Organizations & group practices 1

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1902289515",
    "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": "805-736-5355"
        },
        {
            "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": "934367099",
            "telephone_number": "805-736-1253",
            "fax_number": "805-736-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABEK BAKIR",
        "first_name": "MOHAMMAD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A153458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

Verify at the official NPI Registry.