1. Home
  2. Directory
  3. California
  4. San Luis Obispo
  5. Pediatrics
  6. NPI Profile

SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF SAN LUIS OBISPO
NPI 1508182833
Pediatrics in San Luis Obispo, CA

Active since April 12, 2010
1010 MURRAY AVE, SAN LUIS OBISPO, CA 93405(805) 546-7766(805) 546-7932 Get Directions Write a Review

NPPES record last updated: June 28, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Specialty Medical Group Central California - Dept Of San Luis Obispo NPPES

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

SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF SAN LUIS OBISPO (NPI 1508182833) is a healthcare organization registered as a pediatrics in San Luis Obispo, California and active in the NPI registry since April 2010. The organization lists Devonna M. Kaji, President & Medical Director, as its authorized official.

NPPES Registry Identity

NPI1508182833
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF SAN LUIS OBISPO
Location Address1010 MURRAY AVESan Luis Obispo, CA 93405-1806
Mailing Address9300 Valley Childrens PlMadera, CA 93636-8761 · (559) 353-5700 · Fax (559) 353-5708
Phone(805) 546-7766
Fax(805) 546-7932
Organization SubpartYesParent: Specialty Medical Group Central California, Inc.
Authorized OfficialDevonna M. KajiPresident & Medical Director · (559) 353-5700
Enumeration DateApril 12, 2010
Last NPPES UpdateJune 28, 2013
✔ NPI 1508182833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1010 MURRAY AVE, San Luis Obispo, CA 93405
Open in Google Maps ↗

Other Identifiers 3

MedicaidGR0078680CA
Other1013968296CA · Group Npi
OtherZZZ13884ZCA · Medicare Group

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 20

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

DR. MATTHEW JAMES BARRY DO
Anesthesiology
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 928-1731
RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO
Clinic/Center (Radiology)
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 461-7080
DR. GLEN ARNOLD AQUINO MD
Anesthesiology
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 928-1731
DR. JOHN LEE BASS NP, CNS, PHD
Nurse Practitioner (Critical Care Medicine)
1010 MURRAY AVE, TRAUMA & EMERGENCY SURGERY, SVRMC
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 546-7821
DR. JESSE MATHES ROHDE D.O., MPH
Anesthesiology
1010 MURRAY AVE, ANESTHESIA DEPARTMENT
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 928-1731
STEPHEN KWOK-SUM CHU MD
Anesthesiology
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 928-1731
LISA RANDOLPH
Nurse Practitioner (Family)
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 546-7600
MR. JUSTIN KEADLE PA-C
Physician Assistant (Surgical)
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 546-1997

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 Specialty Medical Group Central California - Dept Of San Luis Obispo's NPI number?

The NPI number for Specialty Medical Group Central California - Dept Of San Luis Obispo is 1508182833. It was assigned to this organization in the NPPES registry on April 12, 2010.

Where is Specialty Medical Group Central California - Dept Of San Luis Obispo located?

Specialty Medical Group Central California - Dept Of San Luis Obispo is located at 1010 Murray Ave, San Luis Obispo, CA 93405. The listed phone number is (805) 546-7766.

What is Specialty Medical Group Central California - Dept Of San Luis Obispo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Specialty Medical Group Central California - Dept Of San Luis Obispo was last updated on June 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.