Individual provider Active NPI

Lorianna Fletcher, MD, FACC

  • Cardiovascular Disease Physician
  • San Luis Obispo, CA
National Provider Identifier
1497715023
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A54052 Issued in CA
Practice address
1941 Johnson Ave
# 101
San Luis Obispo, CA 93401-4154
Phone
(805) 782-8844
Fax
(805) 782-8859
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X A54052 CA
Cardiovascular Disease Physician 207RC0000X A54052 CA Primary

Addresses

Primary practice location

1941 Johnson Ave
# 101
San Luis Obispo, CA 93401-4154

Mailing address

1941 Johnson Ave
Suite 101
San Luis Obispo, CA 93401-4154
Phone (805) 782-8844

Other practice location 1

295 Posada Ln Ste A
Templeton, CA 93465-4055
Phone (805) 782-8844

Other practice location 2

1941 Johnson Ave Ste 102
San Luis Obispo, CA 93401-4174
Phone (805) 782-8844

Other practice location 3

850 Fair Oaks Ave Ste 100
Arroyo Grande, CA 93420-3929
Phone (805) 782-8844

Other identifiers 3

IdentifierTypeStateIssuer
00A540520MedicaidCA
060048765OtherCARAILROAD MEDICARE
ZZZ28458ZOtherCABLUE SHIELD

Other names 1

  • Lorianna Pallai Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041117001233 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 3577524131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine
Education
Tulane University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Central Coast Health Centers 247 clinicians

Practice addresses (Care Compare)

1941 Johnson Ave
Suite 101
San Luis Obispo, CA 93401-4154
Phone (805) 782-8844

Hospital & facility affiliations

  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506

Merit-based Incentive Payment System (MIPS)

Final score
84.07 of 100Reported as group
Quality
80.14
Promoting interoperability
94
Improvement activities
40
Cost
71.76

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A54052CAMDNuclear Cardiology Physician

Practice roles (9 of 10)

OrganizationSpecialtyStatusNew patients
Coastal Cardiology a Medical Corp Cardiovascular Disease Current Accepting new patients
Coastal Cardiology a Medical Corp Cardiovascular Disease CurrentSince Dec 1, 2003 Accepting new patients
Coastal Cardiology a Medical Corp Cardiovascular Disease CurrentSince Dec 1, 2003 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Nov 8, 2024 Accepting new patients
Pacific Central Coast Health Centers Current Accepting new patients
Pacific Central Coast Health Centers CurrentSince Nov 8, 2024 Accepting new patients
Coastal Cardiology a Medical Corp Cardiovascular Disease Current Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

850 Fair Oaks Ave
Ste 100
Arroyo Grande, CA 93420
Phone (805) 473-0700

310 S Halcyon Rd
Ste 105
Arroyo Grande, CA 93420
Phone (805) 481-8233

500 Old River Rd
Ste 200
Bakersfield, CA 93311
Phone (661) 663-6429

2901 N Ventura Rd
Ste 110
Oxnard, CA 93036
Phone (805) 981-6163

1941 Johnson Ave
Ste 102
San Luis Obispo, CA 93401
Phone 8057828844 ext. 161

117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

1941 Johnson Ave
Ste 101
Sn Luis Obisp, CA 93401

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633

295 Posada Ln
Ste A
Templeton, CA 93465
Phone (805) 434-2262

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26058/brand/1/csg/1/fhir/r4

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 3

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1497715023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 JOHNSON AVE",
            "address_2": "SUITE 101",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014154",
            "telephone_number": "805-782-8844",
            "fax_number": "805-782-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 JOHNSON AVE",
            "address_2": "# 101",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014154",
            "telephone_number": "805-782-8844",
            "fax_number": "805-782-8859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 Posada Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "CA",
            "postal_code": "934654055",
            "country_code": "US",
            "telephone_number": "805-782-8844",
            "fax_number": "805-549-6987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1941 Johnson Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014174",
            "country_code": "US",
            "telephone_number": "805-782-8844",
            "fax_number": "805-549-6986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Fair Oaks Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "934203929",
            "country_code": "US",
            "telephone_number": "805-782-8844",
            "fax_number": "805-549-6988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "LORIANNA",
        "credential": "MD, FACC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": "A54052",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A54052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A540520",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060048765",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ28458Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORIANNA",
            "last_name": "PALLAI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.