UROLOGY ASSOCIATES OF SAN LUIS OBISPO NPI 1245637123

NPI Information

NPI: 1245637123
Provider Name: UROLOGY ASSOCIATES OF SAN LUIS OBISPO
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

CLIA Number: 05D0953714

Address:
116 S PALISADE DR
SUITE 110
SANTA MARIA, CA
ZIP 93454
Phone: (805) 786-2500
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UROLOGY ASSOCIATES OF SAN LUIS OBISPO is a medical physician assistant in Santa Maria, CA. UROLOGY ASSOCIATES OF SAN LUIS OBISPO NPI is 1245637123. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

116 S PALISADE DR
SUITE 110
SANTA MARIA, CA
ZIP 93454-904
Phone: (805) 786-2500
Fax: (805) 781-0423

The provider's authorized official is Jerilyn Sue Cagle .
The authorized official title is Busienss Office Manager and has the following contact phone number (805) 786-2500.

The CLIA number assigned to this NPI record is 05D0953714 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/20/2014 and was last updated on 11/20/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	52086	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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