Active NPI
San Luis Hospitalists a Medical Corporation
- Hospitalist Physician
- San Luis Obispo, CA
National Provider Identifier
1760637896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- SAN LUIS HOSPITALISTS A MEDICAL CORPORATION
- Practice address
- 1911 Johnson Ave
San Luis Obispo, CA 93401-4197 - Phone
- (805) 543-5353
- Fax
- (805) 542-6661
- NPI assigned
- Nov 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Keller
- Title
- Administrator
- Phone
- (805) 503-8422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | CA | Primary |
Addresses
Primary practice location
1911 Johnson Ave
San Luis Obispo, CA 93401-4197
Mailing address
PO Box 1464
San Luis Obispo, CA 93406-1464
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ56478Y | Other | CA | BLUE SHIELD GROUP NUMBER 2 (1911 JOHNSON) |
| 1218 | Other | CA | CMSP PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
1023 Nipomo St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 439-2998
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Ponca City, OK
- NPI 1689021842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667952000000",
"number": "1760637896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1464",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934061464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 JOHNSON AVE",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934014197",
"telephone_number": "805-543-5353",
"fax_number": "805-542-6661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN LUIS HOSPITALISTS A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-17",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A",
"authorized_official_last_name": "KELLER",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "805-503-8422"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP NUMBER 2 (1911 JOHNSON)",
"identifier": "ZZZ56478Y",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMSP PROVIDER NUMBER",
"identifier": "1218",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
- San Luis Ambulance Service, Inc.
- San Luis Chronic Pain Massage Therapy
- San Luis Coastal Unified School District
- San Luis Dermatology, Inc.
- San Luis Diagnostic Medical Associates
- San Luis Imaging Medical Group, Inc
- San Luis Internal Medicine Associates, a Medical Corporation
- San Luis Obispo
- San Luis Obispo Behavioral Health
- San Luis Obispo Behavioral Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.