RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO (NPI# 1306813886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306813886 |
| Entity Type | Organization |
| Organization Name | RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO |
| Other Organization Name | FIVE CITIES MEDICAL IMAGING |
| Practice Address |
921 Oak Park Blvd Ste 102 Pismo Beach CA 93449 |
| Mailing Address |
Po Box 2920 Atascadero CA 93423-2920 |
| Practice Telephone | 8057797900 |
| Practice Fax Number | 8057797910 |
| Mailing Telephone | 8054617080 |
| Mailing Fax Number | 8054640243 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2007-12-05 |
| Authorized Official Name | DR. WILLIAM M. RUSSELL (MANAGING PARTNER) |
| Authorized Official Telephone | 8054617080 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0009777 | 05 |
| Other Name | Type Code |
|---|---|
| Five Cities Medical Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063612570 | Radiology Associates of San Luis Obispo | Radiology | 7500 Morro Road, Atascadero, CA 93422 | 2007-07-23 |
| 1881661361 | Radiology Associates of San Luis Obispo | Clinic/Center | 1064 Murray Ave, San Luis Obispo, CA 93405 | 2006-03-03 |
| 1275507212 | Radiology Associates of San Luis Obispo | Clinic/Center | 523 Barcellus, Santa Maria, CA 93454 | 2006-02-15 |
| 1710951603 | Radiology Associates of San Luis Obispo | Clinic/Center | 522 E Plaza Dr, Santa Maria, CA 93454-6908 | 2006-02-15 |
| 1417182510 | Radiology Associates of San Luis Obispo | Specialist | 921 Oak Park Blvd, Suite 100b, Pismo Beach, CA 93449-3264 | 2009-05-19 |
| 1427183508 | Radiology Associates of San Luis Obispo | Clinic/Center | 1010 Murray Ave, San Luis Obispo, CA 93405-8800 | 2007-02-22 |
| 1336274414 | Radiology Associates of San Luis Obispo | Clinic/Center | 1911 Johnson Ave, San Luis Obispo, CA 93401-4131 | 2007-02-22 |
| 1366416307 | Radiology Associates of San Luis Obispo | Clinic/Center | 1310 Las Tablas Rd, Ste 103, Templeton, CA 93465-9737 | 2006-02-15 |
| Street Address |
921 OAK PARK BLVD STE 102 |
| City | PISMO BEACH |
| State | CA |
| Zip Code | 93449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083688782 | Clifford L Gelman | Surgery | 921 Oak Park Blvd, Suite 201, Pismo Beach, CA 93449-3264 | 2006-02-17 |
| 1437588084 | Terri Joan Drew | Nurse Practitioner | 921 Oak Park Blvd, Pismo Beach, CA 93449-3264 | 2013-11-04 |
| 1417182510 | Radiology Associates of San Luis Obispo | Specialist | 921 Oak Park Blvd, Suite 100b, Pismo Beach, CA 93449-3264 | 2009-05-19 |
| 1700038536 | Eric M Salinger | Surgery | 921 Oak Park Blvd, Suite 201, Pismo Beach, CA 93449-3264 | 2008-10-10 |
| 1285880708 | Mabel Chu | Surgery | 921 Oak Park Blvd, Suite 201, Pismo Beach, CA 93449-3264 | 2008-08-15 |
| 1154580702 | Farah Mansuri | Surgery | 921 Oak Park Blvd, Suite 201, Pismo Beach, CA 93449-3264 | 2008-06-07 |
| 1750540431 | Associated Surgeons of San Luis Obispo | Surgery | 921 Oak Park Blvd, Suite 103, Pismo Beach, CA 93449-3264 | 2008-06-06 |
| 1396815965 | David L. Palchak | Internal Medicine | 921 Oak Park Blvd, Suite 100-a, Pismo Beach, CA 93449-3264 | 2006-11-09 |
| 1609953892 | Michael Thomas Laird | Orthopaedic Surgery | 921 Oak Park Blvd, Pismo Beach, CA 93449-3264 | 2006-11-01 |
| 1821194754 | Coastal Surgical Specialists, Inc. | Clinic/Center | 921 Oak Park Blvd, 101, Pismo Beach, CA 93449-3264 | 2006-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831688795 | Kristyn Collins | Psychologist | 130 James Way, #150, Pismo Beach, CA 93449 | 2018-05-07 |
| 1245750140 | Judy Burke Morabito | Pedorthist | 801 Dolliver Street, Pismo Beach, CA 93449 | 2017-06-21 |
| 1295274413 | The San Luis Obispo Hearing Center, Inc | Specialist | 901 Oak Park Blvd Suite 202, Pismo Beach, CA 93449 | 2017-02-21 |
| 1649713645 | Sarah Victoria Stroemel | Counselor | 172 Stimson Ave, #3, Pismo Beach, CA 93449 | 2016-11-22 |
| 1497133631 | Byron N Collier | Podiatrist | 911 Oak Park Blvd Ste 106, Pismo Beach, CA 93449 | 2015-05-07 |
| 1982973319 | Mariana Dintyala | Nurse Practitioner | Avery Healthcare Sevices, 230 Coral Ct, Pismo Beach, CA 93449 | 2011-12-13 |
| 1538444575 | Chelsea Hunter | Student in an Organized Health Care Education/Training Program | 448 Foothill Rd, Pismo Beach, CA 93449 | 2011-10-20 |
| 1952621492 | Briana Leigh Schiro | Counselor | 314 El Portal Dr., Suite 100, Pismo Beach, CA 93449 | 2010-06-07 |
| 1134365315 | Robert Lee Hix | Licensed Psychiatric Technician | 201 Five Cities Dr., 123, Pismo Beach, CA 93449 | 2008-12-18 |
| 1689886764 | Active Physical Therapy Inc | Physical Therapist | 1851 Shell Beach Rd, Suite B, Shell Beach, CA 93449 | 2007-05-03 |
| Find all providers in zip 93449 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1538700588 | Central Valley Medical Imaging, LLC | Clinic/Center | 1125 E Spruce Ave Ste 103, Fresno, CA 93720-3385 | 2019-10-01 |
| 1700447497 | Ester A Hanna | Clinic/Center | 72650 Fred Waring Dr Ste 107, Palm Desert, CA 92260-5007 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
| City | PISMO BEACH |
| Zip Code | 93449 |
Please comment or provide details below to improve the information on RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO.
| 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.