| Wilshire Connected Care | |
|
277 South St Ste S San Luis Obispo CA 93401-5039 | |
| (800) 870-5920 | |
| (805) 329-5625 |
| Full Name | Wilshire Connected Care |
|---|---|
| Speciality | Family Medicine |
| Location | 277 South St Ste S, San Luis Obispo, California |
| Authorized Official Name and Position | Patricia C Ritchie (MANAGER-CEO) |
| Authorized Official Contact | 8055477025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilshire Connected Care 285 South St Ste J San Luis Obispo CA 93401-5037 Ph: (805) 547-7025 | Wilshire Connected Care 277 South St Ste S San Luis Obispo CA 93401-5039 Ph: (800) 870-5920 |
| NPI Number | 1104392885 |
|---|---|
| Provider Enumeration Date | 10/19/2018 |
| Last Update Date | 10/19/2018 |
| Medicare PECOS PAC ID | 5890038558 |
|---|---|
| Medicare Enrollment ID | O20190521000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104392885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| Provider Name | Barbara Defirmian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215150040 PECOS PAC ID: 9335131929 Enrollment ID: I20040401001805 |
| Provider Name | Lawrence B Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518987155 PECOS PAC ID: 6002886884 Enrollment ID: I20040728001726 |
| Provider Name | Sandra S Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043239064 PECOS PAC ID: 3173589215 Enrollment ID: I20041209000592 |
| Provider Name | Grace Crittenden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053343764 PECOS PAC ID: 0143355636 Enrollment ID: I20100323000568 |
| Provider Name | Linda A Galanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548428949 PECOS PAC ID: 8123206356 Enrollment ID: I20110617000095 |
| Provider Name | Michael R Hubbard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376777268 PECOS PAC ID: 5193972024 Enrollment ID: I20120829000352 |
| Provider Name | Karen A Chestnut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144577347 PECOS PAC ID: 4486802097 Enrollment ID: I20120924000192 |
| Provider Name | Kevin Kenneth Parzych |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497817993 PECOS PAC ID: 5597729657 Enrollment ID: I20151102001347 |
| Provider Name | Katie Anne Colvard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477082188 PECOS PAC ID: 4082986153 Enrollment ID: I20170824000992 |
| Provider Name | Virgilia E Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164995825 PECOS PAC ID: 6305184516 Enrollment ID: I20190213003309 |
| Provider Name | Luiza Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174038491 PECOS PAC ID: 6709129463 Enrollment ID: I20190521000111 |
| Provider Name | James A Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942761945 PECOS PAC ID: 4789916008 Enrollment ID: I20191105002695 |
| Provider Name | Lily-anne M Carr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194367144 PECOS PAC ID: 0749618494 Enrollment ID: I20200312000914 |
| Provider Name | Sara Patrice Bartlett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780060574 PECOS PAC ID: 1052736717 Enrollment ID: I20200729001392 |
| Provider Name | Joni E Lesser Benton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851462113 PECOS PAC ID: 4587767827 Enrollment ID: I20201009001332 |
| Provider Name | Yeonsil Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174195424 PECOS PAC ID: 0547668428 Enrollment ID: I20211006002959 |
| Provider Name | Suzanne Yaeko Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558817494 PECOS PAC ID: 3971987959 Enrollment ID: I20220825002480 |
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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 | |
Medical Clinic At Santa Rosa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 171 N Santa Rosa St, San Luis Obispo, CA 93405 Phone: 805-739-3890 Fax: 805-347-7697 | |
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 |