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SAN LUIS OBISPO
NPI 1043360191
Registered Nurse - Psychiatric/Mental Health in San Luis Obispo, CA

Active since January 11, 2007CLIA Certified · 2 labs
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401(805) 461-6060(805) 461-6061 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Luis Obispo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN LUIS OBISPO (NPI 1043360191) is a healthcare organization registered as a psychiatric/mental health in San Luis Obispo, California and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Donald Wayne Curtis, Therapist Iii, as its authorized official.

NPPES Registry Identity

NPI1043360191
Entity TypeOrganization
Primary Taxonomy163WP0808X
Legal Business NameSAN LUIS OBISPO
Location Address2178 JOHNSON AVESan Luis Obispo, CA 93401-4535
Mailing Address5575 Hospital DriveAtascadero, CA 93422 · (805) 461-6060 · Fax (805) 461-6061
Phone(805) 461-6060
Fax(805) 461-6061
Organization SubpartNo
Authorized OfficialDonald Wayne CurtisTherapist Iii · (805) 461-6121
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043360191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in CA · 603351
2178 JOHNSON AVE, San Luis Obispo, CA 93401
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1028365

San Luis Obispo Psychiatric Health Facility · San Luis Obispo, CA
Active · expires Jul 21, 2028
CLIA Number05D1028365
Laboratory TypePsychiatric Inpatient Unt
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorDaisy Ilano
Laboratory Phone(805) 781-4711
Laboratory LocationSan Luis Obispo Psychiatric Health Facility2178 Johnson Ave, San Luis Obispo, CA 93401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D1016242

San Luis Obispo Public Health Dept Oa C And T Program · San Luis Obispo, CA
Active · expires Aug 24, 2027
CLIA Number05D1016242
Laboratory TypeMobile Laboratory
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorFredrick S. Rosen
Laboratory Phone(805) 781-5540
Laboratory LocationSan Luis Obispo Public Health Dept Oa C And T Program2191 Johnson Avenue, San Luis Obispo, CA 93401
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALLIE ROSE BOLLER
Marriage & Family Therapist
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4700
CAMDEN SCHLEISNER
Psychiatric Hospital
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4711
SUSIE JULIANA BAUTISTA
Marriage & Family Therapist
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4960
THOMAS BURDICK
Counselor (Mental Health)
2178 JOHNSON AVE
SAN LUIS OBISBO, CA 93401
San Luis Obispo County (805) 781-4711
KIMBERLY SEAMAN
Counselor (Mental Health)
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4700
JENNIFER N KUIKEN LPT
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4712
RONALD ANTHONY VERDUSCO
Nurse's Aide
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4711
RANDY LEE SCHEIDERER PSYCHIATRIC TECH
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4723

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Luis Obispo's NPI number?

The NPI number for San Luis Obispo is 1043360191. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is San Luis Obispo located?

San Luis Obispo is located at 2178 Johnson Ave, San Luis Obispo, CA 93401. The listed phone number is (805) 461-6060.

What is San Luis Obispo's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Does San Luis Obispo hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for San Luis Obispo was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.