JOSIAH LOOMIS
NPI 1245984327
Specialist in San Luis Obispo, CA

Q: What is Josiah Loomis's NPI number?

The NPI number for Josiah Loomis is 1245984327. It was assigned to this individual provider in the NPPES registry on February 8, 2022.

Q: What is Josiah Loomis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: Is Josiah Loomis enrolled in Medicare?

No. Josiah Loomis has opted out of Medicare through April 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Josiah Loomis was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 08, 2022Opted out of Medicare · through Apr 29, 2027

285 SOUTH ST STE J, SAN LUIS OBISPO, CA 93401(805) 748-3961(805) 549-0564 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Josiah Loomis NPPES

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

JOSIAH LOOMIS (NPI 1245984327) is an individual specialist in San Luis Obispo, California and active in the NPI registry since February 2022. He has opted out of Medicare through April 29, 2027.

NPPES Registry Identity

NPI1245984327

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameJOSIAH LOOMIS

Location Address285 SOUTH ST STE JSan Luis Obispo, CA 93401-5037

Mailing Address285 South St Ste JSan Luis Obispo, CA 93401-5037 · (805) 748-3961 · Fax (805) 549-0564

Phone(805) 748-3961

Fax(805) 549-0564

Sole ProprietorYes

Enumeration DateFebruary 8, 2022

NPPES CertifiedFebruary 8, 2022

✔ NPI 1245984327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

285 SOUTH ST STE J, San Luis Obispo, CA 93401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Josiah Loomis has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 29, 2025 through April 29, 2027.

Opt-Out Effective DateApril 29, 2025

Opt-Out In Effect ThroughApril 29, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

MOLLIE THERESA MACIAS

Day Training/Habilitation Specialist