MISSION ORTHOPEDICS SURGERY AND SPORTS MEDICINE
NPI 1770699282
Orthopaedic Surgery - Sports Medicine in Lompoc, CA

NPI Status: Active since August 21, 2006

Contact Information

1201 E OCEAN AVE
SUITE B
LOMPOC, CA
ZIP 93436
Phone: (805) 963-3336
Fax: (805) 564-3332

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  • Organization
  • Orthopaedic Surgery
  • Sports Medicine

About MISSION ORTHOPEDICS SURGERY AND SPORTS MEDICINE

This page provides the complete NPI Profile along with additional information for Mission Orthopedics Surgery And Sports Medicine, a provider established in Lompoc, California operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1770699282 assigned on August 2006. The practitioner's primary taxonomy code is 207XX0005X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Colvin Clay Wellborn Md (President)

NPI
1770699282
Provider Name
MISSION ORTHOPEDICS SURGERY AND SPORTS MEDICINE
Entity Type
Organization
Location Address
1201 E OCEAN AVE SUITE B LOMPOC, CA 93436
Location Phone
(805) 963-3336
Location Fax
(805) 564-3332
Mailing Address
PO BOX 50706 SANTA BARBARA, CA 93150
Mailing Phone
(805) 963-3336
Mailing Fax
(805) 564-3332
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-21-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Sports Medicine

Taxonomy Code
207XX0005X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. COLVIN CLAY WELLBORN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(805) 963-3336

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00G846660MEDICAID (05)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770699282
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2714012918216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 2 + 9 + 1 + 8 + 2 + 1 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1770699282 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265423487DR. THOMAS S. LOSSING M.D.
Individual
Internal Medicine (Hematology & Oncology)1201 E OCEAN AVE SUITE A
LOMPOC, CA 93436
(805) 735-3511
1619993045THOMAS S. LOSSING INC. AMC
Organization
Internal Medicine (Hematology & Oncology)1201 E OCEAN AVE SUITE A
LOMPOC, CA 93436
(805) 735-3511
1699831743DR. JEFFREY EDWARD CALHOUN DDS
Individual
Dentist (General Practice)1201 E OCEAN AVE SUITE D
LOMPOC, CA 93436
(805) 735-3787
1841667771 OWEN MICHAEL JOHNSTON D.P.T.
Individual
Physical Therapist1201 E OCEAN AVE SUITE A
LOMPOC, CA 93436
(805) 735-8365
1790136810ERICSON DENTAL GROUP-LOMPOC
Organization
Dentist1201 E OCEAN AVE STE. G
LOMPOC, CA 93436
(805) 735-2702
1588147300MR. BRIAN LIPPNER
Individual
Physical Therapy Assistant1201 E OCEAN AVE
LOMPOC, CA 93436
(805) 735-8625
1720638646MR. VAGNER CARVALHO DACHAO PTA, OPTA
Individual
Physical Therapy Assistant1201 E OCEAN AVE
LOMPOC, CA 93436
(805) 735-8365
1295569432DR. BENJAMIN THOMAS CARR PT, DPT
Individual
Physical Therapist1201 E OCEAN AVE
LOMPOC, CA 93436
(805) 735-8365
1730691627DR. JOHN KUDREYKO III PT,DPT,CSCS
Individual
Physical Therapist (Orthopedic)1201 E OCEAN AVE
LOMPOC, CA 93436
(805) 735-8365

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770699282, enumerated in the NPI registry as an "organization" on August 21, 2006

The provider is located at 1201 E Ocean Ave Suite B Lompoc, Ca 93436 and the phone number is (805) 963-3336

This medical organization specializes in Orthopaedic Surgery with taxonomy code 207XX0005X with a focus in Sports Medicine

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.