UROLOGY ASSOCIATES OF SAN LUIS OBISPO
NPI 1245637123
Physician Assistant - Medical in Santa Maria, CA
- Organization
- Physician Assistant
- Medical
- CLIA Number: 05D0953714
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-08-2026
About UROLOGY ASSOCIATES OF SAN LUIS OBISPO
This page provides the complete NPI Profile along with additional information for Urology Associates Of San Luis Obispo, a primary care provider established in Santa Maria, California operating as a Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1245637123 assigned on November 2014. The practitioner's primary taxonomy code is 363AM0700X with license number 52086 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. Urology Associates Of San Luis Obispo operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Jerilyn Sue Cagle (Busienss Office Manager)
- NPI
- 1245637123 Verify this NPI
- Provider Name
- UROLOGY ASSOCIATES OF SAN LUIS OBISPO
- Entity Type
- Organization
- Location Address
- 116 S PALISADE DR SUITE 110 SANTA MARIA, CA 93454
- Location Phone
- (805) 786-2500
- Location Fax
- (805) 781-0423
- Mailing Address
- 3599 SUELDO ST SUITE 110 SAN LUIS OBISPO, CA 93401
- Mailing Phone
- (805) 786-2500
- Mailing Fax
- (805) 781-0423
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-20-2014
- Last Update Date
- 11-20-2014
- Code Navigator
A primary care provider (PCP) like Urology Associates Of San Luis Obispo sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 52086
- License State
- CA
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0953714
- Facility Type
- Physician Office
- Certificate Effective Date
- November 09, 2024
- Certificate Expiration Date
- November 08, 2026
- Laboratory Director
- BRETT D. LEBED
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Urology Associates Of San Luis Obispo in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245637123, enumerated as an "organization" on November 20, 2014.
The provider is located at 116 S PALISADE DR SUITE 110 SANTA MARIA, CA 93454 and the phone number is (805) 786-2500.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
