| San Luis Internal Medicine Associates, A Medical Corporation | |
|
4251 S Higuera St Ste 701 San Luis Obispo CA 93401-7742 | |
| (805) 439-1381 | |
| (805) 439-0138 |
| Full Name | San Luis Internal Medicine Associates, A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 4251 S Higuera St Ste 701, San Luis Obispo, California |
| Authorized Official Name and Position | Deborah A Cherry (PRESIDENT) |
| Authorized Official Contact | 8054391381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Luis Internal Medicine Associates, A Medical Corporation 4251 S Higuera St Ste 701 San Luis Obispo CA 93401-7742 Ph: (805) 439-1381 | San Luis Internal Medicine Associates, A Medical Corporation 4251 S Higuera St Ste 701 San Luis Obispo CA 93401-7742 Ph: (805) 439-1381 |
| NPI Number | 1861475154 |
|---|---|
| Provider Enumeration Date | 11/21/2005 |
| Last Update Date | 10/30/2023 |
| Medicare PECOS PAC ID | 2466483235 |
|---|---|
| Medicare Enrollment ID | O20090610000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861475154 | NPI | - | NPPES |
| 05D0996840 | Other | CA | CLIA |
| ZZZ03051Z | Other | CA | BLUE SHIELD OF CA GRP# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2371545 (California) | Primary |
| Provider Name | Deborah A Cherry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063495356 PECOS PAC ID: 4284651811 Enrollment ID: I20070605000514 |
| Provider Name | Jana G Hanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508849894 PECOS PAC ID: 0547368136 Enrollment ID: I20070605000534 |
| Provider Name | Allysa Nicole Rueschenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689115446 PECOS PAC ID: 9638456841 Enrollment ID: I20170425002312 |
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San Luis Obispo Family Healthcare A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Peach St, Ste A, San Luis Obispo, CA 93401 Phone: 805-596-0900 Fax: 805-596-0411 | |
Kevin Parzych A Medical Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4311 Larkspur St, San Luis Obispo, CA 93401 Phone: 801-918-4238 | |
Gayle Cekada Md Inc A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 184 Casa St, San Luis Obispo, CA 93405 Phone: 805-903-1391 Fax: 805-785-0367 | |
Primary Care At Sierra Vista Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Casa St, Suite 108, San Luis Obispo, CA 93405 Phone: 805-541-6225 | |
Fcpp-central Coast Family Health-slo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Casa St, Suite 320, San Luis Obispo, CA 93405 Phone: 805-250-4844 | |
Higuera Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1555 Higuera St, San Luis Obispo, CA 93401 Phone: 805-739-3890 Fax: 805-347-7697 |