Larry Baldwin, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G64919 Issued in CA

Practice address

689 Tank Farm Rd
San Luis Obispo, CA 93401-7077

Phone

(805) 781-3937

NPI assigned

Aug 1, 2006

Last updated

Nov 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• San Luis Obispo Eye Associates, a Medical Group Inc

  • Ophthalmology Physician
  • Templeton, CA
  • NPI 1366409898
  Medicare reassignment NPD Authorized official
• San Luis Obispo Eye Associates, a Medical Group Inc.

  • Ophthalmology Physician
  • San Luis Obispo, CA
  • NPI 1144400201
  NPD
• San Luis Obispo Eye Associates, a Medical Group Incorporated

  • Ophthalmology Physician
  • San Luis Obispo, CA
  • NPI 1548311061
  NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1205843786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 HEATHER CT",
            "address_2": "SUITE 102",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934658765",
            "telephone_number": "805-434-5970",
            "fax_number": "805-434-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 TANK FARM RD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017077",
            "telephone_number": "805-781-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Heather Ct",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "CA",
            "postal_code": "934658765",
            "country_code": "US",
            "telephone_number": "805-434-5970",
            "fax_number": "805-434-5973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "LARRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G64919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G649190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Bala
• Amber Lynn Balais
• Balance Treatment Slo, Inc
• Miranda Balcazar
• Kenneth Leslie Baldwin, MD
• Sheri Lynette Baldwin, P.T.
• Mike Ball, MS
• Randal Gail Ball, EDD
• Robert Vincent Ball
• Douglas Wayne Ballagh, L.C.S.W.

• Ophthalmology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.