Active NPI
Randall L Lonsbrough D D S Inc
- Prosthodontics
- San Luis Obispo, CA
National Provider Identifier
1841515202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 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 DirectoryLocations
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.