Active NPI
Geoffey L Kamen MD a Professional Corporation
- Family Medicine Physician
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GEOFFEY L KAMEN MD A PROFESSIONAL CORPORATION
- Practice address
- 1150 Grove St # B
San Luis Obispo, CA 93401-2914 - Phone
- (805) 596-1565
- Fax
- (833) 428-4062
- NPI assigned
- Mar 3, 2025
- Last updated
- Jun 20, 2025
- Organization subpart
- Yes
- Parent organization
- GEFFREY L KAMEN MD A PROFESSIONAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Geoffrey L Kamen, MD
- Title
- Director
- Phone
- (805) 596-1565
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1150 Grove St # B
San Luis Obispo, CA 93401-2914
Mailing address
793 E Foothill Blvd Ste A117
San Luis Obispo, CA 93405-1615
Phone (805) 550-8880
Other practice location 1
11355 Los Osos Valley Rd Apt C
San Luis Obispo, CA 93405-6368
Phone (805) 550-8880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Geoffey L Kamen MD a Professional Corporation
Locations
6907 El Camino Real
Ste A
Atascadero, CA 93422
Phone (805) 550-8880
1150 Grove St
#B
San Luis Obispo, CA 93401
Phone (805) 596-1565
1150 Grove St
Ste B
San Luis Obispo, CA 93401
Phone (805) 596-1565
187 Tank Farm Rd
#230B
San Luis Obispo, CA 93401
Phone (805) 596-1565
793 E Foothill Blvd
#A117
San Luis Obispo, CA 93405
793 E Foothill Blvd
Ste A117
San Luis Obispo, CA 93405
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- San Luis Obispo, CA
- NPI 1215015953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750377600000",
"number": "1073311460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "793 E FOOTHILL BLVD STE A117",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934051615",
"telephone_number": "805-550-8880",
"fax_number": "833-428-4062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 GROVE ST # B",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012914",
"telephone_number": "805-596-1565",
"fax_number": "833-428-4062"
}
],
"practiceLocations": [
{
"address_1": "11355 Los Osos Valley Rd Apt C",
"address_purpose": "LOCATION",
"city": "San Luis Obispo",
"state": "CA",
"postal_code": "934056368",
"country_code": "US",
"telephone_number": "805-550-8880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GEOFFEY L KAMEN MD A PROFESSIONAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GEFFREY L KAMEN MD A PROFESSIONAL CORPORATION",
"enumeration_date": "2025-03-03",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A",
"authorized_official_last_name": "KAMEN",
"authorized_official_first_name": "GEOFFREY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "805-596-1565",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.