Individual provider Active NPI

Abdellatif A. Aichouri, M.D., PH.D

  • Psychiatry Physician
  • San Luis Obispo, CA
National Provider Identifier
1871523019
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A87435 Issued in CA
Practice address
3220 S Higuera St Ste 306
San Luis Obispo, CA 93401-6999
Phone
(805) 541-5505
Fax
(805) 541-5075
NPI assigned
Jul 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A87435 CA Primary

Addresses

Primary practice location

3220 S Higuera St Ste 306
San Luis Obispo, CA 93401-6999

Mailing address

3220 S Higuera St Ste 306
San Luis Obispo, CA 93401-6999
Phone (805) 541-5505

Other identifiers 2

IdentifierTypeStateIssuer
351335OtherCAMANAGED HEALTH CARE PIN
0007984583OtherAETNA PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 26, 2015 through Oct 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A87435CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Mind, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anthony.aichouri.1@18773.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871523019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 S HIGUERA ST STE 306",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016999",
            "telephone_number": "805-541-5505",
            "fax_number": "805-541-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 S HIGUERA ST STE 306",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016999",
            "telephone_number": "805-541-5505",
            "fax_number": "805-541-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AICHOURI",
        "first_name": "ABDELLATIF",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A87435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH CARE PIN",
            "identifier": "351335",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "0007984583",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.