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PACIFIC PSYCHIATRY INC., A PROFESSIONAL MEDICAL CORPORATION
NPI 1902317472
Psychiatry & Neurology - Psychiatry in San Luis Obispo, CA

Active since October 23, 2017
1304 ELLA ST STE B, SAN LUIS OBISPO, CA 93401(805) 541-6000(805) 541-6001 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2025, Oct 26, 2017 (2 updates tracked since 2017).

About Pacific Psychiatry Inc., A Professional Medical Corporation NPPES

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

PACIFIC PSYCHIATRY INC., A PROFESSIONAL MEDICAL CORPORATION (NPI 1902317472), doing business as Pacific Psychiatry,inc., is a healthcare organization registered as a psychiatry in San Luis Obispo, California and active in the NPI registry since October 2017. The organization lists Douglas Murphy, Owner, as its authorized official.

NPPES Registry Identity

NPI1902317472
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePACIFIC PSYCHIATRY INC., A PROFESSIONAL MEDICAL CORPORATION
Location Address1304 ELLA ST STE BSan Luis Obispo, CA 93401-4166
Mailing Address1304 Ella St Ste BSan Luis Obispo, CA 93401-4166 · (805) 541-6000 · Fax (805) 541-6001
Phone(805) 541-6000
Fax(805) 541-6001
Organization SubpartNo
Authorized OfficialDouglas MurphyOwner · (805) 541-6000
Enumeration DateOctober 23, 2017
Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1902317472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A065282
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License A065282 (CA)
1304 ELLA ST STE B, San Luis Obispo, CA 93401
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Other Names 1

Doing Business AsPacific Psychiatry,inc.

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacific Psychiatry Inc., A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Pacific Psychiatry Inc., A Professional Medical Corporation, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Richard Altesman, MD
Psychiatry
NPI 1730292350
1304 ELLA ST STE B
San Luis Obispo, CA 93401
(805) 541-6000
✔ PECOS✔ Accepts MedicareSame address
Douglas Murphy, MD
Psychiatry
NPI 1700953734
1304 ELLA ST STE B
San Luis Obispo, CA 93401
(805) 541-6000
✔ PECOSSame address
Douglas Williamson, DNP
Nurse Practitioner
NPI 1386240844
1304 ELLA ST STE B
San Luis Obispo, CA 93401
(805) 541-6000
✔ PECOS✔ Accepts MedicareSame address
Jean Dansereau, MD
Psychiatry
NPI 1568414712
520 E TULARE AVE
Visalia, CA 93292
(559) 623-0931
✔ PECOS105 mi
Regina Bahten, D.O.
Psychiatry
NPI 1568491280
4441 E KINGS CANYON RD
Fresno, CA 93702
(559) 600-9180
✔ PECOS✔ Accepts Medicare112 mi
Edward Valkov, M.D.
Psychiatry
NPI 1043283955
3400 LUTHERAN PKWY
Wheat Ridge, CO 80033
(303) 467-4000
✔ PECOS✔ Accepts Medicare908 mi
Johanna Golston, RN, NP
Nurse Practitioner
NPI 1720146772
595 DORSET ST STE 4
South Burlington, VT 05403
(802) 489-5552
✔ PECOS2,564 mi

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 Pacific Psychiatry Inc., A Professional Medical Corporation's NPI number?

The NPI number for Pacific Psychiatry Inc., A Professional Medical Corporation is 1902317472. It was assigned to this organization in the NPPES registry on October 23, 2017. The provider is doing business as Pacific Psychiatry,Inc..

Where is Pacific Psychiatry Inc., A Professional Medical Corporation located?

Pacific Psychiatry Inc., A Professional Medical Corporation is located at 1304 Ella St Ste B, San Luis Obispo, CA 93401. The listed phone number is (805) 541-6000.

What is Pacific Psychiatry Inc., A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Pacific Psychiatry Inc., A Professional Medical Corporation enrolled in Medicare?

Yes. Pacific Psychiatry Inc., A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacific Psychiatry Inc., A Professional Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Pacific Psychiatry Inc., A Professional Medical Corporation. 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. The largest specialties are Psychiatry (5) and Nurse Practitioner (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pacific Psychiatry Inc., A Professional Medical Corporation was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.