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SAN LUIS PRIMARY CARE MEDICAL GROUP, INC.
NPI 1831168772
Family Medicine in San Luis Obispo, CA

Active since March 14, 2006
1941 JOHNSON AVE, SUITE 203, SAN LUIS OBISPO, CA 93401(805) 546-0780(805) 546-0332 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Luis Primary Care Medical Group, Inc. NPPES

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

SAN LUIS PRIMARY CARE MEDICAL GROUP, INC. (NPI 1831168772) is a healthcare organization registered as a family medicine in San Luis Obispo, California and active in the NPI registry since March 2006. The organization lists David W. Leece, President, as its authorized official.

NPPES Registry Identity

NPI1831168772
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAN LUIS PRIMARY CARE MEDICAL GROUP, INC.
Location Address1941 JOHNSON AVE, SUITE 203San Luis Obispo, CA 93401-4140
Mailing Address1941 Johnson Ave, Suite 203San Luis Obispo, CA 93401-4140 · (805) 546-0780 · Fax (805) 546-0332
Phone(805) 546-0780
Fax(805) 546-0332
Organization SubpartNo
Authorized OfficialDavid W. LeecePresident · (805) 546-0780
Enumeration DateMarch 14, 2006
Last NPPES UpdateMarch 13, 2008
✔ NPI 1831168772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · C2321370
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1941 JOHNSON AVE, San Luis Obispo, CA 93401
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Other Identifiers 3

OtherZZZ00890ZCA · Blue Shield Of California
Medicare ID-Type UnspecifiedW15400CA · Medicare Group Id #
Medicare PINCH6231

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

Other Providers at the Same Location NPPES 16

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

CREATING HARMONY WOMEN'S HEALTHCARE INC
Obstetrics & Gynecology
1941 JOHNSON AVE, SUITE #202
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 548-0033
DR. VIVIAN STORRER MD
Obstetrics & Gynecology
1941 JOHNSON AVE, SUITE 301
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 739-3474
MICHAEL A FAMULARO MD, FACC
Internal Medicine (Interventional Cardiology)
1941 JOHNSON AVE, # 101
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 782-8844
SANDRA FLORINE RODRIGUEZ C.N.M.
Advanced Practice Midwife
1941 JOHNSON AVE, SUITE 202
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 548-0033
ANDREA HARDISON TACKETT MD, FACC
Internal Medicine (Cardiovascular Disease)
1941 JOHNSON AVE, STE 101
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 782-8844
DAVID M PURO MD, FACC
Internal Medicine (Cardiovascular Disease)
1941 JOHNSON AVE, STE 101
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 782-8844
ROBERT J DORIA MD, FACC
Internal Medicine (Interventional Cardiology)
1941 JOHNSON AVE, # 101
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 782-8844
LORIANNA FLETCHER MD, FACC
Internal Medicine (Cardiovascular Disease)
1941 JOHNSON AVE, # 101
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 782-8844

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 Primary Care Medical Group, Inc.'s NPI number?

The NPI number for San Luis Primary Care Medical Group, Inc. is 1831168772. It was assigned to this organization in the NPPES registry on March 14, 2006.

Where is San Luis Primary Care Medical Group, Inc. located?

San Luis Primary Care Medical Group, Inc. is located at 1941 Johnson Ave Suite 203, San Luis Obispo, CA 93401. The listed phone number is (805) 546-0780.

What is San Luis Primary Care Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for San Luis Primary Care Medical Group, Inc. was last updated on March 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.