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SAN LUIS OBISPO FAMILY HEALTHCARE A MEDICAL CORPORATION , NPI 1033111224

Family Medicine in SAN LUIS OBISPO, CA

Last Updated on : Jan 03,2011

About SAN LUIS OBISPO FAMILY HEALTHCARE A MEDICAL CORPORATION (NPI 1033111224)


SAN LUIS OBISPO FAMILY HEALTHCARE A MEDICAL CORPORATION is a Family Medicine in SAN LUIS OBISPO, United States

1033111224 is NPI number of SAN LUIS OBISPO FAMILY HEALTHCARE A MEDICAL CORPORATION.

SAN LUIS OBISPO FAMILY HEALTHCARE A MEDICAL CORPORATION's primary taxonomy code based on NPI Lookup is 207Q00000X with license number 2415081. This taxonomy code refers to Family Medicine.

SAN LUIS OBISPO FAMILY HEALTHCARE A MEDICAL CORPORATION current practice location address is 1250 PEACH ST, SAN LUIS OBISPO, CA. SAN LUIS OBISPO FAMILY HEALTHCARE A MEDICAL CORPORATION can be reached out via phone at 805-596-0900 and via fax at 805-596-0411 .

You can also correspond with SAN LUIS OBISPO FAMILY HEALTHCARE A MEDICAL CORPORATION through mail at mailing address 1250 PEACH ST, SAN LUIS OBISPO, CA, United States. Mailing address contact number is 805-596-0900.

The enumeration date of SAN LUIS OBISPO FAMILY HEALTHCARE A MEDICAL CORPORATION is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 11 years ago.

The authorized official of SAN LUIS OBISPO FAMILY HEALTHCARE A MEDICAL CORPORATION is Laurence Lotz (President). Laurence Lotz can be reached at 8055960900.

1033111224 NPI Information

Name SAN LUIS OBISPO FAMILY HEALTHCARE A MEDICAL CORPORATION
National Provider Id (NPI) 1033111224
Entity Type Organization
Practice Address 1250 PEACH ST, STE A
SAN LUIS OBISPO, CA, United States
Practice Telephone 805-596-0900
Practice Fax Number 805-596-0411
Mailing Address 1250 PEACH ST , STE A
SAN LUIS OBISPO, CA, United States
Mailing Telephone 805-596-0900
Mailing Fax Number 805-596-0411
Enumeration Date 01-Jun-2005
Last Updated Date 03-Jan-2011

SAN LUIS OBISPO FAMILY HEALTHCARE A MEDICAL CORPORATION (NPI 1033111224) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207Q00000X Family Medicine 2415081 CA

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
GR0094260 MEDICAID (05) CA
ZZZ04910Z Other (non-Medicare) (01) CA Blue Shield of CA Grp PIN
CK2492 MEDICARE PIN (08)
W15877 MEDICARE PIN (08) CA

SAN LUIS OBISPO FAMILY HEALTHCARE A MEDICAL CORPORATION (NPI 1033111224) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1497494009 CHRISTINA MICHELLE HUTH Licensed Psychiatric Technician 2180 B JOHNSON AVENUE,
SAN LUIS OBISPO, AR, United States
01-Jun-2022
1457418501 GARY DAVID WILLIAMS Licensed Psychiatric Technician 4650 PARKHILL RD,
SANTA MARGARITA, CA, United States
01-Jan-2007
1124590195 SIERRA VOGES Case Manager/Care Coordinator PO BOX 15408,
SAN LUIS OBISPO, CA, United States
01-Jan-2019
1336206226 ROBERT EUGENE KLINGMAN Physical Therapist 12460 N. RANCHO VISTOSO BLVD., SUITE 140
ORO VALLEY, AZ, United States
02-Jan-2007
1114084803 SARI HERMINE DWORKIN Marriage & Family Therapist 791 PRICE ST # 166,
PISMO BEACH, CA, United States
02-Jan-2007
1760549422 STEPHANIE GALE BUCHLER Social Worker, Clinical 3428 SEQUOIA DR,
SAN LUIS OBISPO, CA, United States
02-Jan-2007
1659438299 SILVIA MARIA ORTIZ Psychologist, Counseling 694 SANTA ROSA ST,
SAN LUIS OBISPO, CA, United States
02-Jan-2007
1831634765 CAMERON GREEN Specialist/Technologist, Athletic Trainer 13 HAYWARD OFFICE PARK STE 108,
WAYNESVILLE, NC, United States
02-Jan-2017
1477098309 CORY GRIFFIN Licensed Psychiatric Technician 2178 JOHNSON AVE,
SAN LUIS OBISPO, CA, United States
02-Jan-2017
1982149829 KEVIN CIRONE Licensed Psychiatric Technician 2178 JOHNSON AVE,
SAN LUIS OBISPO, CA, United States
02-Jan-2017
1376089763 MONCELA VELASCO Registered Nurse, Psych/Mental Health 2485 DEER SPRINGS DRIVE,
PASO ROBLES, CA, United States
10-Jan-2017
1356813380 RITA MARIE HOLLAND Case Manager/Care Coordinator 2178 JOHNSON AVE,
SAN LUIS OBISPO, CA, United States
02-Jan-2019
1497394837 AUSTIN PETERSEN Counselor, Mental Health 6088 MARSHALL WAY,
SAN LUIS OBISPO, CA, United States
02-Jan-2020
1174501845 MICHAEL A FAMULARO Internal Medicine, Cardiovascular Disease 1941 JOHNSON AVE, # 101
SAN LUIS OBISPO, CA, United States
04-Jan-2006
1376521005 ROBERT J DORIA Internal Medicine, Cardiovascular Disease 1941 JOHNSON AVE, # 101
SAN LUIS OBISPO, CA, United States
03-Jan-2006
1083771380 COLLEEN ANN SEBASTIAN Marriage & Family Therapist PO BOX 597,
PISMO BEACH, CA, United States
03-Jan-2007
1801943006 SHARON LILLIAN FRIEDMANN Marriage & Family Therapist 2178 JOHNSON AVE,
SAN LUIS OBISPO, CA, United States
03-Jan-2007
1356762637 RAMONA GOODMAN Licensed Psychiatric Technician 1116 FARROLL AVE,
ARROYO GRANDE, CA, United States
03-Jan-2014
1053777342 KELLIE ACOSTA Physician Assistant, Medical 275 N CHORRO ST, APT E
SAN LUIS OBISPO, CA, United States
03-Jan-2016
1215472006 AMBER L GAMBEL Social Worker PO BOX 4327,
PASO ROBLES, CA, United States
03-Jan-2017

FAQs

Whose NPI Number is 1033111224?

1033111224 is the NPI number of SAN LUIS OBISPO FAMILY HEALTHCARE A MEDICAL CORPORATION.

Where is SAN LUIS OBISPO FAMILY HEALTHCARE A MEDICAL CORPORATION located?

SAN LUIS OBISPO FAMILY HEALTHCARE A MEDICAL CORPORATION is located at 1250 PEACH ST, SAN LUIS OBISPO, CA.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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