Elaine Brielle, NCAC, SAP/DOT, LAADC

Individual provider Active NPI Specialist · Arroyo Grande, CA

NPI 1780965301 · NPPES record last updated May 27, 2026

Key facts

NPI
1780965301
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
License
LR098031 (CA)
Practice address
1003 Meadow Way
Arroyo Grande, CA 93420-1807
Phone
(805) 709-3359
NPI assigned
Sep 9, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LR098031CAMDSpecialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X LR098031 CA Yes

Addresses

Primary practice location

1003 Meadow Way
Arroyo Grande, CA 93420-1807

Mailing address

PO Box 1134
Pismo Beach, CA 93448-1134
Phone (805) 668-9792

Other providers in Arroyo Grande, CA

All providers in Arroyo Grande, CA · Specialist in California

Sources for this page

Verify at the official NPI Registry.