Individual provider Active NPI

David Drake, MS, ACSM-CEP

  • Clinical Exercise Physiologist
  • San Luis Obispo, CA
National Provider Identifier
1346026713
Registry record updated May 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
Practice address
1119 Palm St
San Luis Obispo, CA 93401-3113
Phone
(805) 225-4618
NPI assigned
Sep 1, 2023
Last updated
May 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise PhysiologistGroup: 193400000X SINGLE SPECIALTY GROUP 224Y00000X CA Primary

Addresses

Primary practice location

1119 Palm St
San Luis Obispo, CA 93401-3113

Mailing address

756 Palm St
San Luis Obispo, CA 93401-3522
Phone (805) 225-4618

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778976000000",
    "number": "1346026713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 PALM ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013522",
            "telephone_number": "805-225-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 PALM ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013113",
            "telephone_number": "805-225-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "DAVID",
        "credential": "MS, ACSM-CEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-01",
        "last_updated": "2026-05-17",
        "certification_date": "2026-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Exercise Physiologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "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 May 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.

Verify at the official NPI Registry.