COASTAL FAMILY DERMATOLOGY, PC
NPI 1295290567
Dermatology - Pediatric Dermatology in San Luis Obispo, CA

Q: What is Coastal Family Dermatology, PC's NPI number?

The NPI number for Coastal Family Dermatology, PC is 1295290567. It was assigned to this organization in the NPPES registry on January 31, 2019.

Q: What is Coastal Family Dermatology, PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Active since January 31, 2019

892 AEROVISTA PL STE 120, SAN LUIS OBISPO, CA 93401(805) 544-5567(805) 544-3265 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Coastal Family Dermatology, Pc NPPES

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

COASTAL FAMILY DERMATOLOGY, PC (NPI 1295290567) is a healthcare organization registered as a pediatric dermatology in San Luis Obispo, California and active in the NPI registry since January 2019. The organization maintains a secondary practice location in Santa Maria and lists Christine Denise Kilcline, Owner, as its authorized official.

NPPES Registry Identity

NPI1295290567

Entity TypeOrganization

Primary Taxonomy207NP0225X

Legal Business NameCOASTAL FAMILY DERMATOLOGY, PC

Location Address892 AEROVISTA PL STE 120San Luis Obispo, CA 93401-8054

Mailing Address892 Aerovista Pl Ste 120San Luis Obispo, CA 93401-8054 · (805) 544-5567 · Fax (805) 544-3265

Phone(805) 544-5567

Fax(805) 544-3265

Organization SubpartNo

Authorized OfficialChristine Denise KilclineOwner · (805) 544-5567

Enumeration DateJanuary 31, 2019

Last NPPES UpdateJuly 24, 2025

NPPES CertifiedJuly 24, 2025

✔ NPI 1295290567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NP0225X

Definition

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

Also ListedDermatologyTaxonomy 207N00000X

892 AEROVISTA PL STE 120, San Luis Obispo, CA 93401

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Secondary Practice Location 1

Location 1525 Plaza Dr Ste 200Santa Maria, CA 93454-6954 · Phone (805) 544-5567 · Fax (805) 544-3265

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

Other Providers at the Same Location NPPES 7

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

NATALIE ROBERTSON PA-C

Physician Assistant