Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Olmedo, PA-C

Individual provider Physician Assistant · NPI 1457617383

Benjamin Olmedo, PA-C is a Physician Assistant in Lompoc, California. Qualified in 2012, 14 years ago. Practices with Exer Medical Corporation, a 333-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska and California.

Years since qualifying
14
Licensed in
AK, CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

217 W Central Ave Ste G
Lompoc, CA 93436-2830
Phone: (805) 735-4292
Fax: (805) 735-4293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1102 E Clark Ave Ste 120a, Santa Maria, CA 93455-5175 — (805) 332-8185

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA52451 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 1039 (AK)

Record details

NPI number1457617383
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 4, 2012
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Exer Medical Corporation — 333 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Lompoc