DR. MARK STILPHEN MD
NPI 1063630630
Internal Medicine in San Luis Obispo, CA

Active since April 20, 2007
1250 PEACH ST STE B, SAN LUIS OBISPO, CA 93401(805) 543-4043(805) 543-7640 Get Directions Write a Review

NPPES record last updated: May 14, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2019, Feb 6, 2017, Dec 26, 2015 (3 updates tracked since 2015).

About Dr. Mark Stilphen Md NPPES

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

DR. MARK STILPHEN MD (NPI 1063630630) is an individual internal medicine provider in San Luis Obispo, California, licensed in California (G28153) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1063630630
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARK STILPHENCredential: MD
Location Address1250 PEACH ST STE BSan Luis Obispo, CA 93401-2869
Mailing Address1400 E. Church Street, Attention: Medical Staff OfficeSanta Maria, CA 93454 · (805) 739-3954
Fax(805) 543-7640
Sole ProprietorNo
Enumeration DateApril 20, 2007
Last NPPES UpdateMay 14, 20193 updates tracked since enumeration
NPI 1063630630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · G28153
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1250 PEACH ST STE B, San Luis Obispo, CA 93401

Other Identifiers 1

OtherCB218691CA · Medicare Id

Other Providers at the Same Location NPPES 7

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

Internal Medicine
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
Nurse Practitioner (Adult Health)
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
Family Medicine
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
Internal Medicine
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
Physician Assistant
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
Clinic/Center (Community Health)
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401
Family Medicine
1250 PEACH ST STE B
SAN LUIS OBISPO, CA 93401

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 Mark Stilphen's NPI number?

The NPI number for Mark Stilphen is 1063630630. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Mark Stilphen located?

Mark Stilphen practices at 1250 Peach St Ste B, San Luis Obispo, CA 93401. The listed phone number is (805) 543-4043.

What is Mark Stilphen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Mark Stilphen was last updated on May 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.