Individual provider Active NPI

Christine Denise Kilcline, M.D.

  • Procedural Dermatology Physician
  • San Luis Obispo, CA
National Provider Identifier
1093724791
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
A72400 Issued in CA
Practice address
892 Aerovista PL Ste 120
San Luis Obispo, CA 93401-8054
Phone
(805) 544-5567
Fax
(805) 544-3265
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dermatology Physician 207NP0225X A72400 CA
Procedural Dermatology Physician 207NS0135X A72400 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
Phone (805) 544-5567

Other practice location 1

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

Other identifiers 1

IdentifierTypeStateIssuer
A72400OtherCAMEDICAL LICENSE

Other names 1

  • Christine Denise Schalwitz Other 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050728001037 CA Practitioner - Dermatology 9234167594 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albany Medical College of Union University, 1998
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)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision35
Removal of tissue1-10
Removal of skin lesions2527
Removal of skin cancer1-10
Removal or shaving of skin growth27
Skin biopsy589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A72400CAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Children's Specialty Medical Group, Inc. CurrentSince Nov 1, 2015 Accepting new patients
Valley Children's Medical Group CurrentSince Nov 1, 2015 Accepting new patients
Valley Children's Hospital Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Rady Children's Hospital San Diego Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Seton Medical Center Past Accepting new patients

Locations

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

Organizations & group practices 8

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1093724791",
    "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",
            "telephone_number": "805-544-5567",
            "fax_number": "805-544-3265"
        },
        {
            "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",
            "fax_number": "805-544-3265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Plaza Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934546954",
            "country_code": "US",
            "telephone_number": "805-544-5567",
            "fax_number": "805-544-3265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILCLINE",
        "first_name": "CHRISTINE",
        "middle_name": "DENISE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "A72400",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A72400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A72400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "SCHALWITZ",
            "middle_name": "DENISE",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.