Individual provider Active NPI

Natalie Robertson, PA-C

  • Physician Assistant
  • San Luis Obispo, CA
National Provider Identifier
1083197354
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA55886 Issued in CA
Practice address
892 Aerovista PL Ste 120
San Luis Obispo, CA 93401-8054
Phone
(805) 544-5567
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA55886 CA Primary

Addresses

Primary practice location

892 Aerovista PL Ste 120
San Luis Obispo, CA 93401-8054

Mailing address

892 Aerovista PL Ste 120
San Luis Obispo, CA 93401-8054

Other names 1

  • Natalie Matenaer Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190201002407 CA Practitioner - Physician Assistant 0840537551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Family Dermatology PCGroup PAC ID 3678899051, 8 clinicians

Practice addresses (Care Compare)

525 Plaza Dr
Suite 200
Santa Maria, CA 93454-6954
Phone (805) 544-5567

892 Aerovista PL
Suite 120
San Luis Obispo, CA 93401-8054
Phone (805) 544-5567

Merit-based Incentive Payment System (MIPS)

Final score
91.02 of 100Reported as group
Quality
93.49
Promoting interoperability
82
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
55886CAMDDentist
PA55886CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Dermatology, PC Current Accepting new patients

Locations

892 Aerovista Pl
Ste 130
San Luis Obispo, CA 93401
Phone (805) 395-3277

892 Aerovista Pl
Ste 120
Sn Luis Obisp, CA 93401
Phone (805) 544-5567

990 Pacific St
Sn Luis Obisp, CA 93401
Phone (805) 544-5567

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1083197354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 AEROVISTA PL STE 120",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 AEROVISTA PL STE 120",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018054",
            "telephone_number": "805-544-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "NATALIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA55886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "MATENAER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.