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SAN LUIS IMAGING MEDICAL GROUP, INC
NPI 1649682840
Radiology - Diagnostic Radiology in San Luis Obispo, CA

Active since May 22, 2014
1100 MONTEREY ST # 200, SAN LUIS OBISPO, CA 93401(972) 730-6700(805) 542-0584 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2026, Mar 26, 2026 (2 updates tracked since 2026).

About San Luis Imaging Medical Group, Inc NPPES

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

SAN LUIS IMAGING MEDICAL GROUP, INC (NPI 1649682840) is a healthcare organization registered as a diagnostic radiology in San Luis Obispo, California and active in the NPI registry since May 2014. The organization lists Fred S Vernacchia, President, as its authorized official.

NPPES Registry Identity

NPI1649682840
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSAN LUIS IMAGING MEDICAL GROUP, INC
Location Address1100 MONTEREY ST # 200San Luis Obispo, CA 93401-3102
Mailing Address1100 Monterey St # 200San Luis Obispo, CA 93401-3102 · (972) 730-6700 · Fax (805) 542-0584
Phone(972) 730-6700
Fax(805) 542-0584
Organization SubpartNo
Authorized OfficialFred S VernacchiaPresident · (972) 730-6700
Enumeration DateMay 22, 2014
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1649682840 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 · FNP27421
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1100 MONTEREY ST # 200, San Luis Obispo, CA 93401
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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 SINGLE SPECIALTY GROUP

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 Imaging Medical Group, Inc's NPI number?

The NPI number for San Luis Imaging Medical Group, Inc is 1649682840. It was assigned to this organization in the NPPES registry on May 22, 2014.

Where is San Luis Imaging Medical Group, Inc located?

San Luis Imaging Medical Group, Inc is located at 1100 Monterey St # 200, San Luis Obispo, CA 93401. The listed phone number is (972) 730-6700.

What is San Luis Imaging Medical Group, Inc'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 Imaging Medical Group, Inc was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.