UROLOGY ASSOCIATES OF SAN LUIS OBISPO
NPI 1245637123
Physician Assistant - Medical in Santa Maria, CA

NPI Status: Active since November 20, 2014

Contact Information

116 S PALISADE DR
SUITE 110
SANTA MARIA, CA
ZIP 93454
Phone: (805) 786-2500
Fax: (805) 781-0423

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  • 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
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JERILYN SUE CAGLE

Authorized Official Title
BUSIENSS OFFICE MANAGER
Authorized Official Phone
(805) 786-2500

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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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245637123, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 6 → 12 → 3 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 1 + 2 + 3 + 1 + 4 + 1 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1245637123.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Otolaryngology
116 S PALISADE DR, STE 206
SANTA MARIA, CA 93454
Otolaryngology
116 S PALISADE DR, STE 206
SANTA MARIA, CA 93454
Physical Medicine & Rehabilitation
116 S PALISADE DR, STE. #200
SANTA MARIA, CA 93454
Clinic/Center (Federally Qualified Health Center (FQHC))
116 S PALISADE DR, SUITE 104
SANTA MARIA, CA 93454
Internal Medicine (Gastroenterology)
116 S PALISADE DR, SUITE 306
SANTA MARIA, CA 93454
Clinic/Center (Federally Qualified Health Center (FQHC))
116 S PALISADE DR, SUITE 104
SANTA MARIA, CA 93454
Registered Nurse (Women's Health Care, Ambulatory)
116 S PALISADE DR, 104
SANTA MARIA, CA 93454
Nurse Practitioner (Obstetrics & Gynecology)
116 S PALISADE DR, SUITE 104
SANTA MARIA, CA 93454
Obstetrics & Gynecology
116 S PALISADE DR, SUITE 104
SANTA MARIA, CA 93454
Physician Assistant
116 S PALISADE DR, SUITE 206
SANTA MARIA, CA 93454
Audiologist-Hearing Aid Fitter
116 S PALISADE DR, SUITE 206
SANTA MARIA, CA 93454
Physician Assistant (Medical)
116 S PALISADE DR, SUITE 110
SANTA MARIA, CA 93454
Nurse Practitioner (Primary Care)
116 S PALISADE DR, SUITE 104
SANTA MARIA, CA 93454
Obstetrics & Gynecology (Maternal & Fetal Medicine)
116 S PALISADE DR, SUITE 104
SANTA MARIA, CA 93454
Otolaryngology
116 S PALISADE DR, SUITE 206
SANTA MARIA, CA 93454
Clinic/Center (Ambulatory Surgical)
116 S PALISADE DR, SUITE 110
SANTA MARIA, CA 93454
Pediatrics
116 S PALISADE DR, SUITE 104
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.