Healther Providers Data Logo


Provider Type Icon

PRIMARY CARE PARTNERS - SLO P.C. NPI 1831631001


NPI Information

NPI: 1831631001
Provider Name: PRIMARY CARE PARTNERS - SLO, P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D2125061

Address:
84 SANTA ROSA ST
A
SAN LUIS OBISPO, CA
ZIP 93405
Phone: (805) 591-4727
Get Directions

PRIMARY CARE PARTNERS - SLO, P.C. is a primary care clinic center in San Luis Obispo, CA. PRIMARY CARE PARTNERS - SLO, P.C. NPI is 1831631001. The provider is registered as an organization entity type.

The provider's business location address is:

84 SANTA ROSA ST
A
SAN LUIS OBISPO, CA
ZIP 93405-812
Phone: (805) 591-4727

The provider's authorized official is Andrea Angelucci .
The authorized official title is Family Physician/ President and has the following contact phone number (805) 591-4727.

The CLIA number assigned to this NPI record is 05D2125061 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2016 and was last updated on 11/4/2016.


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
1261QP2300XClinic/CenterPrimary Care20A11012CALIFORNIAYes

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
1CB203759MEDICARE PINCALIFORNIA
21851616106OTHERNPI
31215150040OTHERNPI
41215284096OTHERCALIFORNIANPI
51861676553OTHERNPI

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: 5/5/2024
Remove or sync iconNPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI
Next NPI »