Active NPI
Sydney Luna
- Rehabilitation Practitioner
- San Luis Obispo, CA
National Provider Identifier
1336806017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2975 McMillan Ave Ste 164
San Luis Obispo, CA 93401-6768 - Phone
- (805) 439-4890
- NPI assigned
- Nov 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary | ||
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
2975 McMillan Ave Ste 164
San Luis Obispo, CA 93401-6768
Mailing address
2975 McMillan Ave Ste 164
San Luis Obispo, CA 93401-6768
Phone (805) 439-4890
Other practice location 1
2802 Broadway
Everett, WA 98201-3642
Phone (425) 259-3191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1336806017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2975 MCMILLAN AVE STE 164",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934016768",
"telephone_number": "805-439-4890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 MCMILLAN AVE STE 164",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934016768",
"telephone_number": "805-439-4890"
}
],
"practiceLocations": [
{
"address_1": "2802 Broadway",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982013642",
"country_code": "US",
"telephone_number": "425-259-3191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUNA",
"first_name": "SYDNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-17",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.