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ROBERT D HENRETIG M.D.
NPI 1366463879
Radiology - Diagnostic Radiology in San Luis Obispo, CA

Active since July 21, 2006
2180 JOHNSON AVE, STE A, SAN LUIS OBISPO, CA 93401(805) 269-1313(805) 269-1387 Get Directions Write a Review

NPPES record last updated: January 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert D Henretig M.d. NPPES

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

ROBERT D HENRETIG M.D. (NPI 1366463879) is an individual diagnostic radiology provider in San Luis Obispo, California, licensed in California (G16850) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1366463879
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameROBERT D HENRETIGCredential: M.D.
Location Address2180 JOHNSON AVE, STE ASan Luis Obispo, CA 93401-4513
Mailing Address150 Tejas PlNipomo, CA 93444-9123 · (805) 929-3211 · Fax (805) 929-6359
Phone(805) 269-1313
Fax(805) 269-1387
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateJanuary 3, 2014
✔ NPI 1366463879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · G16850
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2180 JOHNSON AVE, San Luis Obispo, CA 93401
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Other Identifiers 8

Medicare ID-Type Unspecified000194904WA
Medicare OSCAR/certification051847CA
Medicare PINW1508CA
MedicaidKFHC71031FCA
Medicare UPINF05213WA
Medicaid8131633WA
Medicare OSCAR/certification551983CA
Medicare PINW1508ECA

Other Providers at the Same Location NPPES 20

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

MR. JEFFREY WHITE
Counselor (Addiction (Substance Use Disorder))
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-1295
SEAN MARSHALL GALLOWAY
Licensed Psychiatric Technician
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4275
ANDREW LORIMER COOK
Licensed Psychiatric Technician
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 471-4308
KONIKA ROSENBAUM MCPHERSON MFTI
Marriage & Family Therapist
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4865
ELBA M VASQUEZ
Community Health Worker
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4275
MRS. ERIN KELLY TAYLOR
Counselor (Addiction (Substance Use Disorder))
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4275
AVERY JOHN PAULSON RN, NP
Nurse Practitioner (Psychiatric/Mental Health)
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 431-1334
KATHERINE MAIREAD TREACY
Counselor (Addiction (Substance Use Disorder))
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4753

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 Robert Henretig's NPI number?

The NPI number for Robert Henretig is 1366463879. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Robert Henretig located?

Robert Henretig practices at 2180 Johnson Ave Ste A, San Luis Obispo, CA 93401. The listed phone number is (805) 269-1313.

What is Robert Henretig's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Robert Henretig was last updated on January 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.