ANTHONY MICHAEL WOLFE MD NPI 1477637783

NPI Information

NPI: 1477637783
Provider Name: ANTHONY MICHAEL WOLFE, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
84 SANTA ROSA ST
SUITE A
SAN LUIS OBISPO, CA
ZIP 93405
Phone: (805) 548-8585
Get Directions

Anthony Michael Wolfe, MD is a nephrology internal medicine in San Luis Obispo, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Anthony Michael Wolfe, MD NPI is 1477637783. 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:

84 SANTA ROSA ST
SUITE A
SAN LUIS OBISPO, CA
ZIP 93405-812
Phone: (805) 548-8585
Fax: (805) 548-8589

The NPI 1477637783 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 11/10/2014.

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	207RN0300X	Internal Medicine	Nephrology	A19347	CALIFORNIA	Yes

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
1	00A193470	OTHER	CALIFORNIA	BLUE SHIELD PIN NUMBER
2	1477637783	MEDICAID	CALIFORNIA
3	A21716	MEDICARE UPIN	CALIFORNIA
4	BA061Z	MEDICARE PIN	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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