LOMPOC SURGERY CENTER LLC
NPI 1396595245
Clinic/Center - Ambulatory Surgical in Lompoc, CA

Active since March 25, 2024CLIA 05D2306579 · Waiver

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 16, 2024, Apr 15, 2024 (2 updates tracked since 2024).

About Lompoc Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOMPOC SURGERY CENTER LLC (NPI 1396595245) is a healthcare organization registered as an ambulatory surgical in Lompoc, California and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through June 19, 2028 and lists Polly J Baldwin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1396595245
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLOMPOC SURGERY CENTER LLC
Location Address215 N H STLompoc, CA 93436-6021
Mailing Address215 N H St Ste BLompoc, CA 93436-6037 · (805) 888-4511 · Fax (805) 888-4513
Organization SubpartNo
Authorized OfficialPolly J BaldwinAdministrator · (805) 588-7984
Enumeration DateMarch 25, 2024
Last NPPES UpdateAugust 18, 20252 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
NPI 1396595245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
215 N H ST, Lompoc, CA 93436

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2306579

Lompoc Surgery Center, LLC · Lompoc, CA
Active · expires Jun 19, 2028
CLIA Number05D2306579
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 20, 2026
Certificate Expiration DateJune 19, 2028
Laboratory DirectorRandall L. Goodman
Laboratory Phone(805) 588-7984
Laboratory LocationLompoc Surgery Center, LLC215 N H St, Lompoc, CA 93436
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lompoc Surgery Center LLC's NPI number?

The NPI number for Lompoc Surgery Center LLC is 1396595245. It was assigned to this organization in the NPPES registry on March 25, 2024.

Where is Lompoc Surgery Center LLC located?

Lompoc Surgery Center LLC is located at 215 N H St, Lompoc, CA 93436. The listed phone number is (805) 406-3627.

What is Lompoc Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Lompoc Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2306579) is associated with this NPI, valid through June 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lompoc Surgery Center LLC was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.