Organization Active NPI

Russ R. Arjal MD, PC

  • Gastroenterology Physician
  • San Luis Obispo, CA
National Provider Identifier
1861386385
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
RUSS R. ARJAL MD, PC
Practice address
77 Casa St Ste 106
San Luis Obispo, CA 93405-5804
Phone
(805) 541-1021
NPI assigned
Jun 9, 2025
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Russ Arjal, MDNPI 1821144403
Title
Member
Phone
(206) 661-7283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

77 Casa St Ste 106
San Luis Obispo, CA 93405-5804

Mailing address

3940 Broad St Ste 7
PMB 390
San Luis Obispo, CA 93401-7017

National Provider Directory

National Provider Directory

Locations

35 Casa St
Ste 130
San Luis Obispo, CA 93405
Phone (805) 541-1422

77 Casa St
Ste 106
Sn Luis Obisp, CA 93405
Phone (805) 541-1021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1861386385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 BROAD ST STE 7",
            "address_2": "PMB 390",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CASA ST STE 106",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934055804",
            "telephone_number": "805-541-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSS R. ARJAL MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "ARJAL",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-661-7283",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "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 Jan 20, 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.