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SAN LUIS DIAGNOSTIC MEDICAL ASSOCIATES
NPI 1598811580
Radiology - Diagnostic Radiology in San Luis Obispo, CA

Active since January 25, 2007
1100 MONTEREY ST, SUITE 210, SAN LUIS OBISPO, CA 93401(805) 542-9700(805) 542-0584 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Luis Diagnostic Medical Associates NPPES

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

SAN LUIS DIAGNOSTIC MEDICAL ASSOCIATES (NPI 1598811580) is a healthcare organization registered as a diagnostic radiology in San Luis Obispo, California and active in the NPI registry since January 2007. The organization lists Gail L. Roberts, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1598811580
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSAN LUIS DIAGNOSTIC MEDICAL ASSOCIATES
Location Address1100 MONTEREY ST, SUITE 210San Luis Obispo, CA 93401-3102
Mailing Address1100 Monterey St, Suite 210San Luis Obispo, CA 93401-3102 · (805) 542-9700 · Fax (805) 542-0584
Phone(805) 542-9700
Fax(805) 542-0584
Organization SubpartNo
Authorized OfficialGail L. RobertsExecutive Director · (805) 542-9700
Enumeration DateJanuary 25, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1598811580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1100 MONTEREY ST, San Luis Obispo, CA 93401
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Other Identifiers 2

OtherZZZ55471ZCA · Blue Shield Id Number
MedicaidGR0088380CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. GARY MARTIN HATCH M.D.
Radiology (Diagnostic Radiology)
1100 MONTEREY ST, SUITE 210
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 542-9700
DR. LISA MARIE WIELER M.D.
Radiology (Diagnostic Radiology)
1100 MONTEREY ST, SUITE 210
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 542-9700
DR. FRED STEVE VERNACCHIA M.D.
Radiology (Diagnostic Radiology)
1100 MONTEREY ST, SUITE 210
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 542-9700
DR. RANDY DEAN CORK M.D.
Radiology (Diagnostic Radiology)
1100 MONTEREY ST, SUITE 210
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 542-9700

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 San Luis Diagnostic Medical Associates's NPI number?

The NPI number for San Luis Diagnostic Medical Associates is 1598811580. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is San Luis Diagnostic Medical Associates located?

San Luis Diagnostic Medical Associates is located at 1100 Monterey St Suite 210, San Luis Obispo, CA 93401. The listed phone number is (805) 542-9700.

What is San Luis Diagnostic Medical Associates'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 San Luis Diagnostic Medical Associates was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.