Active NPI
Richard J Macias, M.D.
- Pediatric Adolescent Medicine Physician
- San Luis Obispo, CA
National Provider Identifier
1992758742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- A42168
- Practice address
- 1235 Osos St
Suite 100
San Luis Obispo, CA 93401-3600 - Phone
- (805) 549-0888
- Fax
- (805) 549-8463
- NPI assigned
- May 19, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | A42168 | CA | Primary |
Addresses
Primary practice location
1235 Osos St
Suite 100
San Luis Obispo, CA 93401-3600
Mailing address
1235 Osos St
Suite 100
San Luis Obispo, CA 93401-3600
Phone (805) 549-0888
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A42168 | CA | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Coast Pediatrics Inc | Past | Accepting new patients | |
| Central Coast Pediatrics Inc | Adolescent Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- San Luis Obispo, CA
- NPI 1770517724
-
- Pediatric Adolescent Medicine Physician
- Templeton, CA
- NPI 1083869804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992758742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 OSOS ST",
"address_2": "SUITE 100",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934013600",
"telephone_number": "805-549-0888",
"fax_number": "805-549-8463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 OSOS ST",
"address_2": "SUITE 100",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934013600",
"telephone_number": "805-549-0888",
"fax_number": "805-549-8463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACIAS",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CA",
"license": "A42168",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.