Individual provider Active NPI

Michael L Wiechmann, MD, FACC

  • Cardiovascular Disease Physician
  • Templeton, CA
National Provider Identifier
1104805837
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G58530 Issued in CA
Practice address
295 Posada LN Ste a
Templeton, CA 93465-4055
Phone
(805) 782-8844
Fax
(805) 782-8859
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G58530 CA Primary

Addresses

Primary practice location

295 Posada LN Ste a
Templeton, CA 93465-4055

Mailing address

1941 Johnson Ave
Ste 101
San Luis Obispo, CA 93401-4154
Phone (805) 782-8844

Other practice location 1

1100 Las Tablas Rd
Templeton, CA 93465-9704
Phone (805) 434-3500

Other practice location 2

1941 Johnson Ave Ste 101
San Luis Obispo, CA 93401-4154
Phone (805) 782-8844

Other practice location 3

850 Fair Oaks Ave Ste 100
Arroyo Grande, CA 93420-3929
Phone (805) 782-8844

Other practice location 4

1941 Johnson Ave Ste 102
San Luis Obispo, CA 93401-4174
Phone (805) 782-8844

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ28458ZOtherCABLUE SHIELD
60033859OtherCARR MEDICARE
GR0068680MedicaidCA

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
I20070911000986 CA Practitioner - Cardiovascular Disease (Cardiology) 8224076245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Central Coast Health CentersGroup PAC ID 9739091364, 247 clinicians

Practice addresses (Care Compare)

1941 Johnson Ave
Suite 101
San Luis Obispo, CA 93401-4154
Phone (805) 782-8844

Hospital & facility affiliations

  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633

Merit-based Incentive Payment System (MIPS)

Final score
84.07 of 100Reported as group
Quality
80.14
Promoting interoperability
94
Improvement activities
40
Cost
71.76

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58530CAMDDentist
G58530CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Cardiology a Medical Corp Cardiovascular Disease CurrentSince Jul 15, 2006 Accepting new patients
Coastal Cardiology a Medical Corp Cardiovascular Disease Current Accepting new patients
Pacific Central Coast Health Centers CurrentSince Nov 8, 2024 Accepting new patients
Pacific Central Coast Health Centers Current Accepting new patients
Coastal Cardiology a Medical Corp Cardiovascular Disease Current Accepting new patients
Coastal Cardiology a Medical Corp Cardiovascular Disease Current Accepting new patients
Pacific Central Coast Health Centers CurrentSince Nov 8, 2024 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

850 Fair Oaks Ave
Ste 100
Arroyo Grande, CA 93420
Phone (805) 473-0700

310 S Halcyon Rd
Ste 105
Arroyo Grande, CA 93420
Phone (805) 481-8233

1941 Johnson Ave
Ste 102
San Luis Obispo, CA 93401
Phone 8057828844 ext. 161

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

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

1414 E Main St
Ste 201
Santa Maria, CA 93454
Phone (805) 739-3112

1941 Johnson Ave
Ste 101
Sn Luis Obisp, CA 93401

1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

295 Posada Ln
Ste A
Templeton, CA 93465
Phone (805) 434-2262

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26058/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1104805837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 JOHNSON AVE",
            "address_2": "STE 101",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014154",
            "telephone_number": "805-782-8844",
            "fax_number": "805-782-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 POSADA LN STE A",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654055",
            "telephone_number": "805-782-8844",
            "fax_number": "805-782-8859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Las Tablas Rd",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "CA",
            "postal_code": "934659704",
            "country_code": "US",
            "telephone_number": "805-434-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1941 Johnson Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014154",
            "country_code": "US",
            "telephone_number": "805-782-8844",
            "fax_number": "805-549-6985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Fair Oaks Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "934203929",
            "country_code": "US",
            "telephone_number": "805-782-8844",
            "fax_number": "805-549-6988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1941 Johnson Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014174",
            "country_code": "US",
            "telephone_number": "805-782-8844",
            "fax_number": "805-549-6986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIECHMANN",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "MD, FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G58530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ28458Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "60033859",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0068680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, CA

Sources for this page

Verify at the official NPI Registry.