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

Additional informationCallout TooltipNational 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 AddressHWY 1 CALIFORNIA MENS COLONY SAN LUIS OBISPO, CA 93409 Additional informationCallout TooltipProvider 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 Address1433 ASHMORE ST SAN LUIS OBISPO, CA 93401 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity 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 Additional informationCallout TooltipWhat 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 Date09-11-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-11-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code207Q00000X Additional informationCallout TooltipPrimary 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.
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.A41482
License StateCA
Taxonomy DescriptionFamily 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.

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

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1003001124
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