TRAVIS FREITAS


Address: 3970 Broad St Ste 5, San Luis Obispo, CA 93401-7097
Phone: 8057098486

TRAVIS FREITAS (NPI# 1093126732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093126732
Entity Type Individual
Full Name TRAVIS FREITAS
Practice Address 3970 Broad St Ste 5
San Luis Obispo
CA 93401-7097
Mailing Address Po Box 818
Pismo Beach
CA 93448-0818
Practice Telephone 8057098486
Practice Fax Number 8667143887
Mailing Telephone 8057098486
Mailing Fax Number 8667143887
Enumeration Date 2014-05-15
Last Update Date 2014-05-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist CPED0874 VA Other Service Providers

Office Location

Street Address 3970 BROAD ST STE 5
City SAN LUIS OBISPO
State CA
Zip Code 93401-7097

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497228399 Barbara Jean Morrow Dental Hygienist 2191 Johnson Avenue, San Luis Obispo, CA 93401 2019-01-03
1104307743 Griffith Jennings Counselor 1225 Kendal Rd, San Luis Obispo, CA 93401 2018-08-22
1124518808 Joy L Delaluna Licensed Psychiatric Technician 692 Evens Rd, San Luis Obispo, CA 93401 2018-05-17
1982192084 Sierra Mental Wellness Group Community/Behavioral Health 2180 B Johnson Avenue, San Luis Obispo, CA 93401 2018-04-25
1326554403 Veronica Chanel Laguna Case Manager/Care Coordinator 1065 Kansas Ave., San Luis Obispo, CA 93401 2017-12-27
1043739782 Janette Lynn Branca Case Manager/Care Coordinator 285 South Street, Suit J, San Louis Obispo, CA 93401 2017-09-13
1588194104 Adv Vision LLC Optometrist 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 2017-06-15
1508395880 Samantha Clay Counselor 1255 Kendall Road, San Luis Obispo, CA 93401 2017-06-08
1659804771 Sara Anne Powers Counselor 697 Higuera Street D, San Luis Obispo, CA 93401 2017-04-05
1508306010 Russell Piazza Pharmacist 873 Ricardo Court, San Luis Obispo, CA 93401 2017-03-02
Find all providers in zip 93401

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841519675 David Goldeen Specialist 715 Dixie Ln, San Luis Obispo, CA 93401-8215 2010-05-18
1093947848 Pediatric Physical Therapy & Services, Inc. Specialist 524 Kentucky St, San Luis Obispo, CA 93405-1913 2009-08-12
1730348053 Jonathan Alan Abelson Specialist 100 Casa St Ste C, San Luis Obispo, CA 93405-8804 2008-06-02
1144405309 California Retina Consultants Specialist 835 Aerovista Pl, Suite 110, San Luis Obispo, CA 93401-8740 2008-01-07
1609063635 Lisa C Winstein Specialist 3217 Johnson Ave, #9, San Luis Obispo, CA 93401-6000 2007-10-03
1760517023 Wendy Eda Shaw Dahl Specialist 1248 Laurel Ln, San Luis Obispo, CA 93401-5860 2007-02-23
1700951720 Able Therapy Services Specialist 1411 Marsh St, Suite 107, San Luis Obispo, CA 93401-2957 2006-11-22
1902979636 Ke-ping Tsao Specialist 1035 Peach St Ste 303, San Luis Obispo, CA 93401-2700 2006-11-17
1720152416 Peter Andrew Lucier Specialist 12326 Los Osos Valley Road, San Luis Obispo, CA 93405 2006-11-17
1124043344 Paul A. Teixeira Specialist 1248 Monterey St, San Luis Obispo, CA 93401-3104 2006-07-12
Find all providers in SAN LUIS OBISPO

Competitor

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City SAN LUIS OBISPO
Zip Code 93401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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