Individual provider Active NPI

Geoffrey L Kamen, M.D.

  • Family Medicine Physician
  • San Luis Obispo, CA
National Provider Identifier
1215015953
Registry record updated Jul 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A115526 Issued in CA
Practice address
1150 Grove St # B
San Luis Obispo, CA 93401-2914
Phone
(805) 596-1565
Fax
(833) 428-4062
NPI assigned
Nov 1, 2006
Last updated
Jul 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13673 NH
Family Medicine Physician 207Q00000X A115526 CA Primary
Adolescent Medicine (Family Medicine) Physician 207QA0000X 240096 NY

Addresses

Primary practice location

1150 Grove St # B
San Luis Obispo, CA 93401-2914

Mailing address

793 E Foothill Blvd # A117
San Luis Obispo, CA 93405-1615
Phone (055) 961-5658

Other identifiers 1

IdentifierTypeStateIssuer
A115526OtherCAMD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, WA, ID, PA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20101119000828 TX Practitioner - Family Practice 7315949450 Reassigns benefits to 1 organization
I20130125000310 CA Practitioner - Family Practice 7315949450 Reassigns benefits to 2 organizations
Practice locations: San Luis Obispo, CA
I20240131003505 WA Practitioner - Family Practice 7315949450 Reassigns benefits to 1 organization
I20240202002372 ID Practitioner - Family Practice 7315949450 Reassigns benefits to 1 organization
I20240416001056 PA Practitioner - Family Practice 7315949450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1150 Grove St
Suite B
San Luis Obispo, CA 93401-2914
Phone (805) 596-1565

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13673NHMDFamily Medicine Physician
240096NYMDAdolescent Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geoffey L Kamen MD a Professional Corporation Family Medicine CurrentSince Jun 26, 2025 Accepting new patients
Brisco Family Medicine Current Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Dec 19, 2023 Accepting new patients
Gnet PLLC Family Medicine CurrentSince Oct 25, 2020 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 19, 2023 Accepting new patients

Locations

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

1150 Grove St
#B
San Luis Obispo, CA 93401
Phone (805) 596-1565

1150 Grove St
Ste B
San Luis Obispo, CA 93401
Phone (805) 596-1565

793 E Foothill Blvd
#A117
San Luis Obispo, CA 93405

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: geoffrey.kamen.1@32123.direct.athenahealth.com

Organizations & group practices 6

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 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751760000000",
    "number": "1215015953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 E FOOTHILL BLVD # A117",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051615",
            "telephone_number": "055-961-5658",
            "fax_number": "833-428-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 GROVE ST # B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012914",
            "telephone_number": "805-596-1565",
            "fax_number": "833-428-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMEN",
        "first_name": "GEOFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-07-06",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "13673",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A115526",
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "NY",
            "license": "240096",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "A115526",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.