BENJAMIN OLMEDO PA-C
NPI 1457617383
Physician Assistant - Medical in Lompoc, CA

Active since April 04, 2012PECOS EnrolledAccepts Medicare Assignment
80.81/100
CMS Quality Rating
217 W CENTRAL AVE STE G, LOMPOC, CA 93436(805) 735-4292(805) 735-4293 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2023, Dec 28, 2022, Feb 6, 2017 (3 updates tracked since 2017).

About Benjamin Olmedo Pa-c NPPES

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

BENJAMIN OLMEDO PA-C (NPI 1457617383) is an individual medical provider in Lompoc, California, licensed in California (PA52451) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1457617383
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBENJAMIN OLMEDOCredential: PA-C
Location Address217 W CENTRAL AVE STE GLompoc, CA 93436-2830
Mailing Address217 W Central Ave Ste GLompoc, CA 93436-2830 · (805) 735-4292 · Fax (805) 735-4293
Fax(805) 735-4293
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 4, 2012
Last NPPES UpdateNovember 3, 20233 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
NPI 1457617383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA52451
Also ListedPhysician AssistantTaxonomy 363A00000X · License 1039 (AK)
217 W CENTRAL AVE STE G, Lompoc, CA 93436

Other Identifiers 2

MedicaidMDA0484CA
MedicaidMDA0484AK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Benjamin Olmedo Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921262833
PECOS Enrollment IDI20160407001685
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.62
Promoting Interoperability100
Improvement Activities40
Cost55.43

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
217 W CENTRAL AVE STE G
LOMPOC, CA 93436
Nurse Practitioner
217 W CENTRAL AVE STE G
LOMPOC, CA 93436
Physician Assistant
217 W CENTRAL AVE STE G
LOMPOC, CA 93436
Nurse Practitioner (Family)
217 W CENTRAL AVE STE G
LOMPOC, CA 93436
Clinic/Center (Community Health)
217 W CENTRAL AVE STE G
LOMPOC, CA 93436
Physician Assistant
217 W CENTRAL AVE STE G
LOMPOC, CA 93436
Family Medicine
217 W CENTRAL AVE STE G
LOMPOC, CA 93436
Physician Assistant
217 W CENTRAL AVE STE G
LOMPOC, CA 93436

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 Benjamin Olmedo's NPI number?

The NPI number for Benjamin Olmedo is 1457617383. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Where is Benjamin Olmedo located?

Benjamin Olmedo practices at 217 W Central Ave Ste G, Lompoc, CA 93436. The listed phone number is (805) 735-4292.

What is Benjamin Olmedo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Benjamin Olmedo enrolled in Medicare?

Yes. Benjamin Olmedo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Benjamin Olmedo was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.