Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Michael Nephrology, PC

Organization Nephrology Physician · NPI 1669198206

St Michael Nephrology, PC provides Nephrology Physician services in San Luis Obispo, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

620 California Blvd Bldg B Ste P1
San Luis Obispo, CA 93401-2541
Phone: (805) 792-2274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1669198206
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ernest Dytiapco — President · (805) 792-2274
NPI enumeratedOctober 17, 2022
Last updated in NPPESOctober 17, 2022
Certification dateSeptember 27, 2022
Mailing address620 California Blvd Bldg B, Suite P1, San Luis Obispo, CA 93401-2541

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