Active NPI
Kenneth Michael Loya, PH.D.
- Psychologist
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35291
- Practice address
- 555 Chorro St Ste B
San Luis Obispo, CA 93405-2398 - Phone
- (805) 903-2074
- NPI assigned
- Aug 9, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | CA | ||
| Psychologist | 103T00000X | 35291 | CA | Primary |
Addresses
Primary practice location
555 Chorro St Ste B
San Luis Obispo, CA 93405-2398
Mailing address
PO Box 1811
San Luis Obispo, CA 93406-1811
Phone (805) 903-2074
Other practice location 1
10333 El Camino Real
Atascadero, CA 93422-5808
Phone (805) 468-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
555 Chorro St
Suite B
San Luis Obispo, CA 93405-2398
Phone (805) 903-2074
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35291 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients |
Locations
10333 El Camino Real
Atascadero, CA 93422
Phone (805) 468-2000
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
-
- Psychiatric Hospital
- Atascadero, CA
- NPI 1174573802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1083047377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1811",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934061811",
"telephone_number": "805-903-2074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 CHORRO ST STE B",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934052398",
"telephone_number": "805-903-2074"
}
],
"practiceLocations": [
{
"address_1": "10333 El Camino Real",
"address_purpose": "LOCATION",
"city": "Atascadero",
"state": "CA",
"postal_code": "934225808",
"country_code": "US",
"telephone_number": "805-468-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOYA",
"first_name": "KENNETH",
"middle_name": "MICHAEL",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-09",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "35291",
"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 Sep 17, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.