Individual provider Active NPI

Eric Alan Hasenkamp, MD

  • Family Medicine Physician
  • San Luis Obispo, CA
National Provider Identifier
1760942866
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A207004 Issued in CA
Practice address
895 Aerovista PL Ste 103
San Luis Obispo, CA 93401-8725
Phone
(805) 541-3200
Fax
(805) 541-3700
NPI assigned
Mar 23, 2019
Last updated
Oct 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 33227 NE
Family Medicine Physician 207Q00000X A207004 CA Primary
General Practice Physician 208D00000X 61498172 WA

Addresses

Primary practice location

895 Aerovista PL Ste 103
San Luis Obispo, CA 93401-8725

Mailing address

895 Aerovista PL Ste 103
San Luis Obispo, CA 93401-8725
Phone (805) 541-3200

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33227NEMDGeneral Practice Physician
61498172WAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793059200000",
    "number": "1760942866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 AEROVISTA PL STE 103",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018725",
            "telephone_number": "805-541-3200",
            "fax_number": "805-541-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 AEROVISTA PL STE 103",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018725",
            "telephone_number": "805-541-3200",
            "fax_number": "805-541-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASENKAMP",
        "first_name": "ERIC",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-23",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "33227",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A207004",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "61498172",
            "primary": false
        }
    ],
    "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 Oct 27, 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.