ST MICHAEL NEPHROLOGY PC NPI 1669198206

NPI Information

  • NPI: 1669198206
  • Provider Name: ST MICHAEL NEPHROLOGY, PC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 620 CALIFORNIA BLVD BLDG B
    SUITE P1
    SAN LUIS OBISPO, CA
    ZIP 93401
  • Phone: (805) 792-2274

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NPI Details

ST MICHAEL NEPHROLOGY, PC 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. ST MICHAEL NEPHROLOGY, PC NPI is 1669198206. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

620 CALIFORNIA BLVD BLDG B
SUITE P1
SAN LUIS OBISPO, CA
ZIP 93401-541
Phone: (805) 792-2274

The provider's authorized official is Ernest Daniel Moreno Dytiapco .
The authorized official title is President and has the following contact phone number (805) 792-2274.

The enumeration date for this NPI number is 10/17/2022 and was last updated on 10/17/2022.

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
1207RN0300XInternal MedicineNephrologyYes

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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