MIRIAM ELIZADE LOMELINO (MD) – Family Medicine Physician, NPI 1619952538

MIRIAM ELIZADE LOMELINO (MD) is a healthcare provider. based in Templeton, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. A72626 (CA). The NPI Number for MIRIAM ELIZADE LOMELINO (MD) is 1619952538

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MIRIAM ELIZADE LOMELINO (MD)
NPI
1619952538
Phone
(805) 434-0025
Address
1320 LAS TABLAS RD
Enumeration Date
13 December 2005
Last Update Date
5 May 2011

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
8054340025
Graduation Year
1998 (28 years ago)
PAC ID
1052455961
Group Practice PAC ID
3274718085
Professional Enrollment ID
I20100216000481
Address ID
CA934659711TE1320XRDXX404
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for MIRIAM ELIZADE LOMELINO (MD)

  • 1320, Las Tablas Road, Templeton, San Luis Obispo County, California, 93465, United States

    SUITE F

    TEMPLETON, CA 934659711

    Phone: (805) 434-0025

    Fax: (805) 434-0029

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $537.

Total Amount is formed as General ($537) + Research ($0) + Ownership ($0) = $537.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($168).

Total Amount

$537

General + Research + Ownership

Payments

26

Total payment records

General Amount

$537

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100216000481IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes543253$0
99213Established patient office or other outpatient visit, 20-29 minutes453276$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit207207$0
G0008Administration of influenza virus vaccine7774$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage6664$0
View full utilization report →

Insurance plans in this area (ZIP 93465)

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Provider's Procedures

MIRIAM ELIZADE LOMELINO (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINECA81002Urinalysis, manual test5647

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274718085View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
Family PracticeCA
Nurse PractitionerMN

Reviews

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Frequently asked questions

What federal number belongs to MIRIAM ELIZADE LOMELINO (MD)?
The federal identifier for MIRIAM ELIZADE LOMELINO (MD) is NPI 1619952538.
Is MIRIAM ELIZADE LOMELINO (MD) currently active in the NPI registry?
CMS-published data lists MIRIAM ELIZADE LOMELINO (MD) as an active registrant.
What kind of provider is MIRIAM ELIZADE LOMELINO (MD)?
The page reflects Family Medicine Physician for MIRIAM ELIZADE LOMELINO (MD). Clinical services aligned with this taxonomy classification.
Where does public data place MIRIAM ELIZADE LOMELINO (MD)?
The snapshot lists Templeton, California for MIRIAM ELIZADE LOMELINO (MD); download NPPES for the complete set.
What if Templeton, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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