Organization Active NPI

Randall L Lonsbrough D D S Inc

  • Prosthodontics
  • San Luis Obispo, CA
National Provider Identifier
1841515202
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
RANDALL L LONSBROUGH D D S INC
Practice address
628 California Blvd
Suite F1
San Luis Obispo, CA 93401-2542
Phone
(805) 544-3204
NPI assigned
Mar 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Dr. Randall L Lonsbrough, DDS
Title
Dentist/Owner
Phone
(805) 544-3204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

628 California Blvd
Suite F1
San Luis Obispo, CA 93401-2542

Mailing address

628 California Blvd
Suite F1
San Luis Obispo, CA 93401-2542
Phone (805) 544-3204

National Provider Directory

National Provider Directory

Locations

628 California Blvd
Ste F1
Sn Luis Obisp, CA 93401
Phone (805) 544-3204

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1841515202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 CALIFORNIA BLVD",
            "address_2": "SUITE F1",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012542",
            "telephone_number": "805-544-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 CALIFORNIA BLVD",
            "address_2": "SUITE F1",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012542",
            "telephone_number": "805-544-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL L LONSBROUGH D D S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "LONSBROUGH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "805-544-3204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 11, 2010; 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.