Individual provider Active NPI

James Kirk Waldsmith, DVM

  • Veterinarian
  • San Luis Obispo, CA
National Provider Identifier
1891669453
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
008381 Issued in CA
Practice address
4850 Davenport Creek Rd
San Luis Obispo, CA 93401-8151
Phone
(805) 904-0470
Fax
(805) 904-0470
NPI assigned
Oct 6, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 008381 CA Primary

Addresses

Primary practice location

4850 Davenport Creek Rd
San Luis Obispo, CA 93401-8151

Mailing address

4850 Davenport Creek Rd
San Luis Obispo, CA 93401-8151
Phone (805) 904-0470

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
008381CAMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1891669453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 DAVENPORT CREEK RD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018151",
            "telephone_number": "805-904-0470",
            "fax_number": "805-904-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 DAVENPORT CREEK RD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018151",
            "telephone_number": "805-904-0470",
            "fax_number": "805-904-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDSMITH",
        "first_name": "JAMES",
        "middle_name": "KIRK",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "CA",
            "license": "008381",
            "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 Oct 6, 2025; 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.