Active NPI
Joshua Bridge, DO
- Emergency Medicine Physician
- San Luis Obispo, CA
National Provider Identifier
1932849569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 21724
- Practice address
- 1010 Murray Ave
San Luis Obispo, CA 93405-1806 - Phone
- (805) 546-7650
- NPI assigned
- Mar 31, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 21724 | CA | Primary |
Addresses
Primary practice location
1010 Murray Ave
San Luis Obispo, CA 93405-1806
Mailing address
1200 N State St
Los Angeles, CA 90089-1001
Phone (916) 622-0761
Other practice location 1
1100 Las Tablas Rd
Templeton, CA 93465-9704
Phone (805) 434-3500
Other practice location 2
1200 N State St
Clinic Tower, Suite A7D
Los Angeles, CA 90033-1029
Phone (916) 622-0761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240119003041 | CA | Order and Referring Only - Emergency Medicine | 0143672618 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21724 | CA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1932849569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900891001",
"telephone_number": "916-622-0761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 MURRAY AVE",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934051806",
"telephone_number": "805-546-7650"
}
],
"practiceLocations": [
{
"address_1": "1100 Las Tablas Rd",
"address_purpose": "LOCATION",
"city": "Templeton",
"state": "CA",
"postal_code": "934659704",
"country_code": "US",
"telephone_number": "805-434-3500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 N State St",
"address_2": "Clinic Tower, Suite A7D",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900331029",
"country_code": "US",
"telephone_number": "916-622-0761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRIDGE",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-31",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "21724",
"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 May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.