San Luis Obispo

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

603351 Issued in CA

Legal business name

SAN LUIS OBISPO

Practice address

2178 Johnson Ave
San Luis Obispo, CA 93401-4535

Phone

(805) 461-6060

Fax

(805) 461-6061

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Donald Wayne Curtis, RN

Title

Therapist III

Phone

(805) 461-6121

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043360191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 HOSPITAL DRIVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "93422",
            "telephone_number": "805-461-6060",
            "fax_number": "805-461-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2178 JOHNSON AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014535",
            "telephone_number": "805-461-6060",
            "fax_number": "805-461-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUIS OBISPO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "THERAPIST III",
        "authorized_official_telephone_number": "805-461-6121",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "603351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Luis Dermatology, Inc.
• San Luis Diagnostic Medical Associates
• San Luis Hospitalists a Medical Corporation
• San Luis Imaging Medical Group, Inc
• San Luis Internal Medicine Associates, a Medical Corporation
• San Luis Obispo Behavioral Health
• San Luis Obispo Behavioral Health
• San Luis Obispo Ca Endoscopy ASC LP
• San Luis Obispo Campus Health
• San Luis Obispo Center for Change

• Psychiatric/Mental Health Registered Nurse in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.