PRIMARY CARE PARTNERS - SLO, P.C.


Address: 84 Santa Rosa St, A, San Luis Obispo, CA 93405-1812
Phone: 8055914727

PRIMARY CARE PARTNERS - SLO, P.C. (NPI# 1831631001) 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) 1831631001
Entity Type Organization
Organization Name PRIMARY CARE PARTNERS - SLO, P.C.
Practice Address 84 Santa Rosa St
A
San Luis Obispo
CA 93405-1812
Practice Telephone 8055914727
Mailing Telephone 8055914727
Enumeration Date 2016-11-04
Last Update Date 2016-11-04
Authorized Official Name DR. ANDREA ANGELUCCI (FAMILY PHYSICIAN/ PRESIDENT)
Authorized Official Telephone 8055914727
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
20A11012 CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NPI 1215150040 01
NPI 1851616106 01
CA NPI 1215284096 01
NPI 1861676553 01

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PRIMARY CARE PARTNERS - SLO, P.C. 84 Santa Rosa Street Ste A, San Luis Obispo, CA 93405-1812

Office Location

Street Address 84 SANTA ROSA ST
A
City SAN LUIS OBISPO
State CA
Zip Code 93405-1812

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477637783 Anthony Michael Wolfe Internal Medicine 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405-1812 2006-10-24
1215442991 Soquel Schafer Family Medicine 84 Santa Rosa St, San Luis Obispo, CA 93405-1812 2017-12-04
1215284096 Heather Marie Willis Physician Assistant 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405-5816 2012-08-10
1104121680 Leah M Tanner Dietitian, Registered 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405-1812 2011-01-14
1962706994 Mandy R.c. Gailey Dietitian, Registered 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405-1812 2011-01-05
1851616106 Andrea Angelucci Family Medicine 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405-5816 2010-03-30
1861676553 Suzanne Elizabeth Bakke Physician Assistant 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405-5816 2007-12-18
1437361771 Paul Stephen Collins Dermatology 84 Santa Rosa St, San Luis Obispo, CA 93405-1812 2007-05-07
1215150040 Barbara Lisa Defirmian Family Medicine 84 Santa Rosa St, Ste A, San Luis Obispo, CA 93405-1812 2007-04-10
1306960240 Dermatologic Plastic Surgery Clinics of Ca Specialist 84 Santa Rosa St, San Luis Obispo, CA 93405-1812 2007-03-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164076626 Hilary Abbott Anderson Physician Assistant 127 Casa St., San Luis Obispo, CA 93405 2019-08-01
1811465834 Fatemeh Ladan Ahmadinia Dentist 764 N Santa Rosa St, San Luis Obispo, CA 93405 2018-11-07
1538559794 Arnold Martin Horwitz Marriage & Family Therapist 1605 Garnette Drive, San Luis Obispo, CA 93405 2015-01-27
1750794764 Solmaz Naghsh Pharmacist 765 Foothill Blvd, San Luis Obispo, CA 93405 2014-06-06
1609293471 Robert S. Flores Dmd, Inc Dentist 878 Boysen Avenue, San Luis Obispo, CA 93405 2014-03-18
1457776445 Laura Anne Wilvert Marriage & Family Therapist 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 2014-02-27
1497181200 Tracey Ruby Madrigal Counselor 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 2013-09-25
1437597572 Sarah Michelle Brenis Counselor 524 Princeton Place, San Luis Obispo, CA 93405 2013-06-11
1013350974 Jenna Rose Ramos Counselor 1459 Descanso St., San Luis Obispo, CA 93405 2013-04-10
1700140696 Christopher Dieterich Marchand Social Worker 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 2012-06-26
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821699521 Flora Lim Clinic/Center 2500 Alton Pkwy Ste 108, Irvine, CA 92606-5032 2020-11-08
1902405715 Riverside Primary Care Clinic, Joanna Ayala Md Clinic/Center 3978 Merrill Ave, Riverside, CA 92506 2020-10-22
1275131765 Uzoma Uwakah Clinic/Center 2521 Seminary Ave # 1, Oakland, CA 94605-1307 2020-10-15
1508464470 Pestle Health LLC Clinic/Center 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 2020-10-13
1902404247 Arbol Acupuncture Clinic/Center 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 2020-10-09
1346857802 Sos Environmental Health Clinic/Center 59 Estaban Dr, Camarillo, CA 93010-1609 2020-09-29
1457966442 Carlos A. Alvarez., Md., Inc Clinic/Center 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 2020-09-15
1265046395 Riverway Medical Group A Medical Corporation Clinic/Center 1827 S Court St Ste B, Visalia, CA 93277-5469 2020-09-05
1386258754 Apollo Health Services Inc Clinic/Center 438 E Katella Ave Ste 229, Orange, CA 92867-4803 2020-09-03
1538772843 Unlimited Urgent Care Inc. Clinic/Center 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 2020-08-26
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Competitor

Search similar providers

City SAN LUIS OBISPO
Zip Code 93405

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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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