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RANDALL L LONSBROUGH DDS
NPI 1750397410
Dentist - Prosthodontics in San Luis Obispo, CA

Active since August 01, 2006PECOS Enrolled
628 CALIFORNIA BLVD, STE F1, SAN LUIS OBISPO, CA 93401(805) 544-3204(805) 544-3240 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randall L Lonsbrough Dds NPPES

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

RANDALL L LONSBROUGH DDS (NPI 1750397410) is an individual prosthodontics provider in San Luis Obispo, California, licensed in California (40663) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750397410
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameRANDALL L LONSBROUGHCredential: DDS
Location Address628 CALIFORNIA BLVD, STE F1San Luis Obispo, CA 93401-2574
Mailing Address628 California Blvd, Ste F1San Luis Obispo, CA 93401-2574 · (805) 544-3204 · Fax (805) 544-3240
Phone(805) 544-3204
Fax(805) 544-3240
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateDecember 8, 2014
✔ NPI 1750397410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in CA · 40663
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
628 CALIFORNIA BLVD, San Luis Obispo, CA 93401
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Other Identifiers 1

Medicare UPIND40663

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall L Lonsbrough Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

BRIAN BOLENBAUGH
Hearing Instrument Specialist
628 CALIFORNIA BLVD, SUITE F
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-3277
MARK D SHERMAN MD
Ophthalmology
628 CALIFORNIA BLVD, STE D
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 545-7881
KIMBERLY D JOHNSON O.D.
Optometrist
628 CALIFORNIA BLVD, STE D
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 545-7881
DUISTERMARS OPTOMETRIC CORPORATION
Optometrist
628 CALIFORNIA BLVD, STE. C
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 546-1988
LAWRENCE J FOGEL MD
Psychiatry & Neurology (Neurology)
628 CALIFORNIA BLVD, SUITE A-3
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-1683
STEVEN C JOHNSON MD
Ophthalmology
628 CALIFORNIA BLVD, STE C
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 547-2090
RETINA SPECIALISTS OF THE CENTRAL COAST INC
Ophthalmology
628 CALIFORNIA BLVD, SUITE C
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 547-2090
CENTRAL COAST EYE ASSOCIATES INC
Ophthalmology
628 CALIFORNIA BLVD, STE C
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-0102

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 Randall Lonsbrough's NPI number?

The NPI number for Randall Lonsbrough is 1750397410. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Randall Lonsbrough located?

Randall Lonsbrough practices at 628 California Blvd Ste F1, San Luis Obispo, CA 93401. The listed phone number is (805) 544-3204.

What is Randall Lonsbrough's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Randall Lonsbrough enrolled in Medicare?

Yes. Randall Lonsbrough is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randall Lonsbrough was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.