Michael Angelo Viggianelli, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A41482 Issued in CA

Practice address

Hwy 1 California Mens Colony
San Luis Obispo, CA 93409-0001

Phone

(805) 547-7911

NPI assigned

Sep 11, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1003001132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 ASHMORE ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017682",
            "telephone_number": "805-547-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 1 CALIFORNIA MENS COLONY",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934090001",
            "telephone_number": "805-547-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGGIANELLI",
        "first_name": "MICHAEL",
        "middle_name": "ANGELO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A41482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret K Veyna, RN
• Cindy Lee Victorino
• Felizon Vidad, PSYD
• Jessica Vieira
• Allie Vierra
• Vikram R. Tiku, DDS, Inc.
• Divina Theodosia Villanueva, PSYD
• Nikki Shige Villarreal Nino, AMFT
• Ryan Villarreal
• Gabriel Villegas

• Family Medicine Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.