San Luis Podiatry Group | |
1551 Bishop St, Ste B210, San Luis Obispo, CA 93401 | |
(805) 543-7788 | |
(805) 543-7828 |
Full Name | San Luis Podiatry Group |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 1551 Bishop St, San Luis Obispo, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649382052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | E4236 (California) | Primary |
Provider Name | Anthony M Martin |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1770683914 PECOS PAC ID: 8820999329 Enrollment ID: I20040116001092 |
Provider Name | Mark F Miller |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1629063946 PECOS PAC ID: 7214007715 Enrollment ID: I20080624000483 |
Provider Name | Christopher Matthew Byrne |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1982701272 PECOS PAC ID: 5092798983 Enrollment ID: I20101012000286 |
Provider Name | Gary D Mulder |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1326053190 PECOS PAC ID: 8426243346 Enrollment ID: I20101117000357 |
Provider Name | Julie Marie Chatigny |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1073870085 PECOS PAC ID: 2567774078 Enrollment ID: I20150710002043 |
Provider Name | Leslie Joslin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003159849 PECOS PAC ID: 9436463593 Enrollment ID: I20150803001104 |
Provider Name | Yusuke Kihira |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1821550013 PECOS PAC ID: 3870972078 Enrollment ID: I20220617002033 |
Mailing Address | Practice Location Address |
---|---|
San Luis Podiatry Group 1551 Bishop St, Ste 210b, San Luis Obispo, CA 93401 Ph: (805) 543-7788 | San Luis Podiatry Group 1551 Bishop St, Ste B210, San Luis Obispo, CA 93401 Ph: (805) 543-7788 |
Dr. Brandon James Slade, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1551 Bishop St, San Luis Obispo, CA 93401 Phone: 805-543-7788 Fax: 805-543-7828 | |
Lant Jarvis Abernathy, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 862 Meinecke Ave Ste 204, San Luis Obispo, CA 93405 Phone: 805-540-5770 Fax: 888-851-4755 | |
Dr. Nick Laddhaphol Gunasayan, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 862 Meinecke Ave Ste 204, San Luis Obispo, CA 93405 Phone: 805-540-5770 Fax: 888-851-4755 | |
Advance Foot & Ankle Associates Podiatrist Medicare: Medicare Enrolled Practice Location: 862 Meinecke Ave Ste 204, San Luis Obispo, CA 93405 Phone: 805-540-5770 Fax: 888-851-4755 | |
Scott E. Adams, Dpm Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 862 Meinecke Ave, Suite 204, San Luis Obispo, CA 93405 Phone: 805-543-1509 Fax: 805-543-1513 | |
Yusuke Kihira, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1551 Bishop St Ste 310c, San Luis Obispo, CA 93401 Phone: 805-543-7788 Fax: 805-543-7828 |