Active NPI
Josiah Loomis
- Specialist
- San Luis Obispo, CA
National Provider Identifier
1245984327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 285 South St Ste J
San Luis Obispo, CA 93401-5037 - Phone
- (805) 748-3961
- Fax
- (805) 549-0564
- NPI assigned
- Feb 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
285 South St Ste J
San Luis Obispo, CA 93401-5037
Mailing address
285 South St Ste J
San Luis Obispo, CA 93401-5037
Phone (805) 748-3961
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | jloomis@wilshirehcs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 29, 2025 through Apr 29, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1245984327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 SOUTH ST STE J",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934015037",
"telephone_number": "805-748-3961",
"fax_number": "805-549-0564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 SOUTH ST STE J",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934015037",
"telephone_number": "805-748-3961",
"fax_number": "805-549-0564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOMIS",
"first_name": "JOSIAH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "jloomis@wilshirehcs.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "tautry@wilshirehcs.org",
"address_1": "285 South St Ste J",
"city": "San Luis Obispo",
"state": "CA",
"country_code": "US",
"postal_code": "934015037",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.