Anthony T Whall, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA55444 Issued in CA

Practice address

555 Chorro St Ste A2
San Luis Obispo, CA 93405-2396

Phone

(805) 321-5080

Fax

(877) 752-3742

NPI assigned

Sep 16, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Well Being Physician Assistant Mental Health Inc.

  • Clinic/Center
  • San Luis Obispo, CA
  • NPI 1881348415
  NPD Authorized official
• Mindpath Health Florida, PLLC

  • Psychiatry Physician
  • Coral Springs, FL
  • NPI 1467467266

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1962950188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 5TH ST",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934021611",
            "telephone_number": "805-321-5080",
            "fax_number": "877-752-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CHORRO ST STE A2",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934052396",
            "telephone_number": "805-321-5080",
            "fax_number": "877-752-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALL",
        "first_name": "ANTHONY",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-16",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA55444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Pathology Inc
• Amanda Westman, DO
• Pamela Westphal
• Paul D Wetzel, M.D.
• Laurie A. Weymann, N.P.
• Melissa Wheelock
• Jeffrey White
• Jerry Lee White III
• Paul White, B.S., M.A.
• Thomas Jackson White

• Physician Assistant in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.