| Rodolfo Castillo-ruiz, MD | |
|
1551 Bishop St, 160, San Luis Obispo, CA 93401-4635 | |
| (805) 269-1500 | |
| (805) 269-1585 |
| Full Name | Rodolfo Castillo-ruiz |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1551 Bishop St, San Luis Obispo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174549182 | NPI | - | NPPES |
| FHC71031F | Medicaid | CA | |
| HAP71031F | Other | CA | FAMILY PLANNING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A51574 (California) | Primary |
| Entity Name | Community Health Centers Of The Central Coast Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336166248 PECOS PAC ID: 7416868120 Enrollment ID: O20040115001161 |
| Entity Name | Department Of State Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Rodolfo Castillo-ruiz, MD 2050 S Blosser Rd, Santa Maria, CA 93458-7310 Ph: (805) 361-8023 | Rodolfo Castillo-ruiz, MD 1551 Bishop St, 160, San Luis Obispo, CA 93401-4635 Ph: (805) 269-1500 |
Michael Angelo Viggianelli, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Hwy 1 California Mens Colony, San Luis Obispo, CA 93409 Phone: 805-547-7911 | |
Farnaz Pirayesh, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 865 Aerovista Pl Ste 140, San Luis Obispo, CA 93401 Phone: 805-424-5257 Fax: 805-742-8929 | |
George S Kienle, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1555 Higuera St, San Luis Obispo, CA 93401 Phone: 805-543-4043 Fax: 805-543-4427 | |
Lisa Brazil, C.F.N.P. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Casa St Ste 320, San Luis Obispo, CA 93405 Phone: 805-250-4844 Fax: 057-850-3568 | |
Dr. Jonathan Stanley Hamrick, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 47 Santa Rosa St, 47 Santa Rosa, San Luis Obispo, CA 93405 Phone: 805-542-9956 Fax: 805-594-1436 | |
Dr. Richard V Ascoli, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Grand Ave, San Luis Obispo, CA 93407 Phone: 805-756-1211 Fax: 805-756-5298 |