ROBERT D HENRETIG M.D. NPI 1366463879

NPI Information

  • NPI: 1366463879
  • Provider Name: ROBERT D HENRETIG, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 2180 JOHNSON AVE
    STE A
    SAN LUIS OBISPO, CA
    ZIP 93401
  • Phone: (805) 269-1313

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NPI Details

Robert D Henretig, M.D. is a diagnostic radiology radiology in San Luis Obispo, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Robert D Henretig, M.D. NPI is 1366463879. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2180 JOHNSON AVE
STE A
SAN LUIS OBISPO, CA
ZIP 93401-513
Phone: (805) 269-1313
Fax: (805) 269-1387

The enumeration date for this NPI number is 7/21/2006 and was last updated on 1/3/2014.

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
12085R0202XRadiologyDiagnostic RadiologyG16850CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000194904MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
2051847MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
3W1508MEDICARE PINCALIFORNIA
4KFHC71031FMEDICAIDCALIFORNIA
5F05213MEDICARE UPINWASHINGTON
68131633MEDICAIDWASHINGTON
7551983MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
8W1508EMEDICARE PINCALIFORNIA

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: 11/21/2025

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