Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RADHOUAN GAZOUANI
NPI 1083535157
Dentist - General Practice in San Luis Obispo, CA

Active since July 23, 2026
3870 BROAD ST STE 1, SAN LUIS OBISPO, CA 93401(805) 202-4988 Get Directions Write a Review

NPPES record added: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Jul 23, 2026 (2 updates tracked since 2026).

About Radhouan Gazouani NPPES

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

RADHOUAN GAZOUANI (NPI 1083535157) is an individual general practice provider in San Luis Obispo, California, licensed in California (113704) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1083535157
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRADHOUAN GAZOUANI
Location Address3870 BROAD ST STE 1San Luis Obispo, CA 93401-7172
Mailing Address3870 Broad St Ste 1San Luis Obispo, CA 93401-7172 · (805) 202-4988
Sole ProprietorNo
Enumeration DateJuly 23, 2026
Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
NPI 1083535157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 113704
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3870 BROAD ST STE 1, San Luis Obispo, CA 93401

Other Providers at the Same Location NPPES 6

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

Dentist (General Practice)
3870 BROAD ST STE 1
SAN LUIS OBISPO, CA 93401
Dentist
3870 BROAD ST STE 1
SAN LUIS OBISPO, CA 93401
Dentist
3870 BROAD ST STE 1
SAN LUIS OBISPO, CA 93401
Clinic/Center (Dental)
3870 BROAD ST STE 1
SAN LUIS OBISPO, CA 93401
Dentist
3870 BROAD ST STE 1
SAN LUIS OBISPO, CA 93401
Dentist (General Practice)
3870 BROAD ST STE 1
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 Radhouan Gazouani's NPI number?

The NPI number for Radhouan Gazouani is 1083535157. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

Where is Radhouan Gazouani located?

Radhouan Gazouani practices at 3870 Broad St Ste 1, San Luis Obispo, CA 93401. The listed phone number is (805) 202-4988.

What is Radhouan Gazouani's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Radhouan Gazouani was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.