NPIMap

Organization Active NPI

Chris M Byrne DPM Inc

Doing business as San Luis Podiatry Group

  • Podiatrist
  • San Luis Obispo, CA
National Provider Identifier
1649382052
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4236 Issued in CA
Legal business name
CHRIS M BYRNE DPM INC
Doing business as
San Luis Podiatry Group
Practice address
1551 Bishop St
Ste B210
San Luis Obispo, CA 93401
Phone
(805) 543-7788
Fax
(805) 543-7828
NPI assigned
Aug 31, 2006
Last updated
Dec 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Chris M Byrne, DPM
Title
President
Phone
(805) 543-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4236 CA Primary

Addresses

Primary practice location

1551 Bishop St
Ste B210
San Luis Obispo, CA 93401

Mailing address

1551 Bishop St
Ste 210B
San Luis Obispo, CA 93401
Phone (805) 543-7788

Other names 1

  • San Luis Podiatry Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050817001241 CA Part B Supplier - Clinic/Group Practice 2365472420 Receives reassigned benefits from 6 practitioners
Practice locations: San Luis Obispo, CA; Templeton, CA
O20100930095377 CA DME Supplier - Physician - Podiatry 2365472420 Practice locations: San Luis Obispo, CA

National Provider Directory

National Provider Directory

Locations

1551 Bishop St
Ste 210
Sn Luis Obisp, CA 93401
Phone (805) 329-6262

1551 Bishop St
Ste 210B
Sn Luis Obisp, CA 93401
Phone (805) 543-7788

1551 Bishop St
Ste 310C
Sn Luis Obisp, CA 93401
Phone (805) 543-1863

1551 Bishop St
Ste B210
Sn Luis Obisp, CA 93401
Phone (805) 543-7788

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1649382052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 BISHOP ST",
            "address_2": "STE 210B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-543-7788",
            "fax_number": "805-543-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 BISHOP ST",
            "address_2": "STE B210",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-543-7788",
            "fax_number": "805-543-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS M BYRNE DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-543-7788",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Luis Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 30, 2013; 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.