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WILSHIRE CONNECTED CARE
NPI 1104392885
Family Medicine in San Luis Obispo, CA

Active since October 19, 2018CLIA 05D2172070 · Waiver
277 SOUTH ST STE S, SAN LUIS OBISPO, CA 93401(800) 870-5920(805) 329-5625 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wilshire Connected Care NPPES

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

WILSHIRE CONNECTED CARE (NPI 1104392885) is a healthcare organization registered as a family medicine in San Luis Obispo, California and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists Patricia C Ritchie, Manager-ceo, as its authorized official.

NPPES Registry Identity

NPI1104392885
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWILSHIRE CONNECTED CARE
Location Address277 SOUTH ST STE SSan Luis Obispo, CA 93401-5039
Mailing Address285 South St Ste JSan Luis Obispo, CA 93401-5037 · (805) 547-7025 · Fax (805) 547-7030
Phone(800) 870-5920
Fax(805) 329-5625
Organization SubpartNo
Authorized OfficialPatricia C RitchieManager-ceo · (805) 547-7025
Enumeration DateOctober 19, 2018
✔ NPI 1104392885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
277 SOUTH ST STE S, San Luis Obispo, CA 93401
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 05D2172070

Wilshire Connected Care · San Luis Obispo, CA
Active · expires Sep 12, 2027
CLIA Number05D2172070
Laboratory TypePrimary Care
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorKevin Parzych
Laboratory Phone(800) 870-5920
Laboratory LocationWilshire Connected Care277 South Street, Suite S, San Luis Obispo, CA 93401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KAHLUA SIEVERT
Licensed Vocational Nurse
277 SOUTH ST STE S
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (800) 870-5920

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 Wilshire Connected Care's NPI number?

The NPI number for Wilshire Connected Care is 1104392885. It was assigned to this organization in the NPPES registry on October 19, 2018.

Where is Wilshire Connected Care located?

Wilshire Connected Care is located at 277 South St Ste S, San Luis Obispo, CA 93401. The listed phone number is (800) 870-5920.

What is Wilshire Connected Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Wilshire Connected Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2172070) is associated with this NPI, valid through September 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wilshire Connected Care was last updated on October 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.