ST MICHAEL NEPHROLOGY, PC
NPI 1669198206
Internal Medicine - Nephrology in San Luis Obispo, CA

Q: What is St Michael Nephrology, PC's NPI number?

The NPI number for St Michael Nephrology, PC is 1669198206. It was assigned to this organization in the NPPES registry on October 17, 2022.

Q: What is St Michael Nephrology, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since October 17, 2022

620 CALIFORNIA BLVD BLDG B, SUITE P1, SAN LUIS OBISPO, CA 93401(805) 792-2274 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About St Michael Nephrology, Pc NPPES

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

ST MICHAEL NEPHROLOGY, PC (NPI 1669198206) is a healthcare organization registered as a nephrology in San Luis Obispo, California and active in the NPI registry since October 2022. The organization lists Ernest Daniel Moreno Dytiapco, President, as its authorized official.

NPPES Registry Identity

NPI1669198206

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameST MICHAEL NEPHROLOGY, PC

Location Address620 CALIFORNIA BLVD BLDG B, SUITE P1San Luis Obispo, CA 93401-2541

Mailing Address620 California Blvd Bldg B, Suite P1San Luis Obispo, CA 93401-2541 · (805) 792-2274

Phone(805) 792-2274

Organization SubpartNo

Authorized OfficialErnest Daniel Moreno DytiapcoPresident · (805) 792-2274

Enumeration DateOctober 17, 2022

NPPES CertifiedSeptember 27, 2022

✔ NPI 1669198206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

620 CALIFORNIA BLVD BLDG B, 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 St Michael Nephrology, PC's NPI number?

The NPI number for St Michael Nephrology, PC is 1669198206. It was assigned to this organization in the NPPES registry on October 17, 2022.

Where is St Michael Nephrology, PC located?

St Michael Nephrology, PC is located at 620 California Blvd Bldg B Suite P1, San Luis Obispo, CA 93401. The listed phone number is (805) 792-2274.

What is St Michael Nephrology, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for St Michael Nephrology, PC was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.