Joel Lardizabal, MD Inc

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

JOEL LARDIZABAL, MD INC

Practice address

835 Aerovista PL Ste 110
San Luis Obispo, CA 93401-8741

Phone

(805) 457-9568

Fax

(805) 457-9569

NPI assigned

Oct 4, 2019

Organization subpart

No

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

Authorized official

Name

Joel Lardizabal, MDNPI 1508960527

Title

Managing Physician

Phone

(805) 540-2081

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel A Lardizabal, M.D.

  • Cardiovascular Disease Physician
  • San Luis Obispo, CA
  • NPI 1508960527
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1629619192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13578",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933893578",
            "telephone_number": "661-493-8938",
            "fax_number": "661-495-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 AEROVISTA PL STE 110",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018741",
            "telephone_number": "805-457-9568",
            "fax_number": "805-457-9569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 S Palisade Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545931",
            "country_code": "US",
            "telephone_number": "805-457-9568",
            "fax_number": "805-457-9569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOEL LARDIZABAL, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "LARDIZABAL",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "805-540-2081",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sundarampillai Jeyanandarajan, M.D.
• Alexis Jimenez
• Eric Jimenez
• Lorena Jimenez
• Steven B Jobst, M.D.
• John Oak Care Corp.
• Barry Dean Johnson
• Camille Johnson, LMFT
• Carl E Johnson, M.D.
• Christopher Johnson

• Interventional Cardiology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.