JOEL LARDIZABAL, MD INC
NPI 1629619192
Internal Medicine - Interventional Cardiology in San Luis Obispo, CA

Active since October 04, 2019
835 AEROVISTA PL STE 110, SAN LUIS OBISPO, CA 93401(805) 457-9568(805) 457-9569 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 20, 2025, Oct 4, 2019 (2 updates tracked since 2019).

About Joel Lardizabal, Md Inc NPPES

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

JOEL LARDIZABAL, MD INC (NPI 1629619192) is a healthcare organization registered as an interventional cardiology in San Luis Obispo, California and active in the NPI registry since October 2019. The organization maintains a secondary practice location in Santa Maria and lists Joel Lardizabal, Managing Physician, as its authorized official.

NPPES Registry Identity

NPI1629619192
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameJOEL LARDIZABAL, MD INC
Location Address835 AEROVISTA PL STE 110San Luis Obispo, CA 93401-8741
Mailing AddressPo Box 13578Bakersfield, CA 93389-3578 · (661) 493-8938 · Fax (661) 495-2123
Fax(805) 457-9569
Organization SubpartNo
Authorized OfficialJoel LardizabalManaging Physician · (805) 540-2081
Enumeration DateOctober 4, 2019
Last NPPES UpdateFebruary 20, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
✔ NPI 1629619192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
835 AEROVISTA PL STE 110, San Luis Obispo, CA 93401

Secondary Practice Location 1

Location 1220 S Palisade Dr Ste 101Santa Maria, CA 93454-5931 · Phone (805) 457-9568 · Fax (805) 457-9569

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joel Lardizabal, Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Joel Lardizabal, MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Interventional Cardiology
NPI 1508960527
835 AEROVISTA PL
San Luis Obispo, CA 93401
(805) 457-9568
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Joel Lardizabal, MD Inc's NPI number?

The NPI number for Joel Lardizabal, MD Inc is 1629619192. It was assigned to this organization in the NPPES registry on October 4, 2019.

Where is Joel Lardizabal, MD Inc located?

Joel Lardizabal, MD Inc is located at 835 Aerovista Pl Ste 110, San Luis Obispo, CA 93401. The listed phone number is (805) 457-9568.

What is Joel Lardizabal, MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Joel Lardizabal, MD Inc enrolled in Medicare?

Yes. Joel Lardizabal, MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Joel Lardizabal, MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Cardiology) reassigns their Medicare billing to Joel Lardizabal, MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Joel Lardizabal, MD Inc was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.