NPIMap

Organization Active NPI

Pacific Psychiatry Inc., a Professional Medical Corporation

Doing business as Pacific Psychiatry,Inc.

  • Psychiatry Physician
  • San Luis Obispo, CA
National Provider Identifier
1902317472
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A065282 Issued in CA
Legal business name
PACIFIC PSYCHIATRY INC., A PROFESSIONAL MEDICAL CORPORATION
Doing business as
Pacific Psychiatry,Inc.
Practice address
1304 Ella St Ste B
San Luis Obispo, CA 93401-4166
Phone
(805) 541-6000
Fax
(805) 541-6001
NPI assigned
Oct 23, 2017
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Dr. Douglas Murphy, MDNPI 1700953734
Title
Owner
Phone
(805) 541-6000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A065282 CA Primary
Child & Adolescent Psychiatry Physician 2084P0804X A065282 CA

Addresses

Primary practice location

1304 Ella St Ste B
San Luis Obispo, CA 93401-4166

Mailing address

1304 Ella St Ste B
San Luis Obispo, CA 93401-4166
Phone (805) 541-6000

Other names 1

  • Pacific Psychiatry,Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171201002072 CA Part B Supplier - Clinic/Group Practice 2769749597 Receives reassigned benefits from 8 practitioners
Practice locations: San Luis Obispo, CA

National Provider Directory

National Provider Directory

Locations

1551 Bishop St
Ste A150
San Luis Obispo, CA 93401
Phone (805) 235-5446

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1902317472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 ELLA ST STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014166",
            "telephone_number": "805-541-6000",
            "fax_number": "805-541-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 ELLA ST STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014166",
            "telephone_number": "805-541-6000",
            "fax_number": "805-541-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PSYCHIATRY INC., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-541-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A065282",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A065282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Psychiatry,Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.