Miriam Elizade Lomelino, MD
Family Medicine in Templeton, CA. Individual provider (NPI-1).
NPI number1619952538
StatusActive
Last updated in NPPESMay 5, 2011
Details
- NPI
- 1619952538
- Entity type
- Individual (NPI-1)
- Name
- Miriam Elizade Lomelino
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2005
- Last updated
- May 5, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A72626 | CA | Yes |
Practice location
1320 Las Tablas RdSuite F
Templeton, CA 93465-9711
Phone 805-434-0025 · Fax 805-434-0029
Mailing address
1320 Las Tablas RdSuite F
Templeton, CA 93465-9711
Phone 805-434-0025 · Fax 805-434-0029
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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