Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

San Luis Primary Care Medical Group, Inc

Organization Family Medicine Physician · NPI 1831168772

San Luis Primary Care Medical Group, Inc provides Family Medicine Physician services in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1941 Johnson Ave Ste 203
San Luis Obispo, CA 93401-4140 Not confirmed with CMS for 18 years — call before visiting
Phone: (805) 546-0780
Fax: (805) 546-0332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence C2321370 (CA)

Record details

NPI number1831168772
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Leece — President · (805) 546-0780
NPI enumeratedMarch 14, 2006
Last updated in NPPESMarch 13, 2008
Mailing address1941 Johnson Ave, Suite 203, San Luis Obispo, CA 93401-4140

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