MICHAEL ANGELO VIGGIANELLI MD NPI 1003001132

Family Medicine in San Luis Obispo, CA

About MICHAEL VIGGIANELLI

Michael Viggianelli is a provider in San Luis Obispo, CA. The NPI number assigned to this provider is 1003001132. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an individual and their NPI record was last updated 11 years ago. Michael Viggianelli is registered with Medicare.

NPI	1003001132 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	MICHAEL ANGELO VIGGIANELLI MD
Provider Location Address	HWY 1 CALIFORNIA MENS COLONY SAN LUIS OBISPO, CA 93409 Provider location address The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address	1433 ASHMORE ST SAN LUIS OBISPO, CA 93401 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Gender	Male
NPI Entity Type	Individual Entity type code The code describing the type of health care provider that is being assigned an NPI. Codes are: 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?	No
Is Organization Subpart?	N/A What is a subpart? Subparts are the components and separate physical locations of organization health care providers. Examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date	09-11-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	09-11-2007 Last update date The date that a record was last updated or changed.

Business Address

MICHAEL ANGELO VIGGIANELLI MD
HWY 1 CALIFORNIA MENS COLONY
SAN LUIS OBISPO, CA
ZIP 93409
Phone: (805) 547-7911
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Mailing Address

MICHAEL ANGELO VIGGIANELLI MD
1433 ASHMORE ST
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 547-7911

Primary Taxonomy

Taxonomy Code	207Q00000X Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Classification	Family Medicine
Type	Allopathic & Osteopathic Physicians
License No.	A41482
License State	CA
Taxonomy Description	Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Medicare Participation

Registered in PECOS?	Yes What is PECOS? PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Map Location

MICHAEL ANGELO VIGGIANELLI MD address is HWY 1 CALIFORNIA MENS COLONY SAN LUIS OBISPO, CA 93409