NPIMap

Individual provider Active NPI

Meghan Elizabeth McKiernan, MD

  • Family Medicine Physician
  • Los Osos, CA
National Provider Identifier
1104260454
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
144336 Issued in CA
Practice address
2238 Bayview Heights Dr Ste G
Los Osos, CA 93402
Phone
(805) 534-1305
NPI assigned
Apr 17, 2013
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 144336 CA Primary

Addresses

Primary practice location

2238 Bayview Heights Dr Ste G
Los Osos, CA 93402

Mailing address

685 Morro Ave Ste C
Morro Bay, CA 93442-2233
Phone (805) 772-7313

Other practice location 1

2 James Way Ste 209
Pismo Beach, CA 93449-4976
Phone (805) 549-6915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161220001348 CA Practitioner - Family Practice 8123328531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2238 Bayview Heights Dr
Suite G
Los Osos, CA 93402-3930
Phone (805) 543-1305

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
144336CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers Current Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Nov 1, 2016 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Pacific Central Coast Health Centers CurrentSince Aug 31, 2018 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Aug 31, 2018 Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Nov 1, 2016 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

2238 Bayview Heights Dr
Ste G
Los Osos, CA 93402
Phone (805) 534-1305

685 Morro Ave
Ste C
Morro Bay, CA 93442
Phone (805) 772-7313

150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254

2 James Way
Ste 209
Pismo Beach, CA 93449
Phone (805) 549-6915

77 Casa St
#201202
San Luis Obispo, CA 93405
Phone (805) 269-1500

117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474

1400 E Church St
Ofc
Santa Maria, CA 93454
Phone (805) 739-3112

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

1551 Bishop St
Ste A160
Sn Luis Obisp, CA 93401
Phone (805) 781-4230

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1104260454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 MORRO AVE STE C",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422233",
            "telephone_number": "805-772-7313",
            "fax_number": "805-772-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 BAYVIEW HEIGHTS DR STE G",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "93402",
            "telephone_number": "805-534-1305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 James Way Ste 209",
            "address_purpose": "LOCATION",
            "city": "Pismo Beach",
            "state": "CA",
            "postal_code": "934494976",
            "country_code": "US",
            "telephone_number": "805-549-6915",
            "fax_number": "805-549-6916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKIERNAN",
        "first_name": "MEGHAN",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "144336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Osos, CA

Sources for this page

Verify at the official NPI Registry.