AIDS PROGRAM
NPI 1346365780
Preventive Medicine - Public Health & General Preventive Medicine in San Luis Obispo, CA

NPI Status: Active since March 21, 2007

Contact Information

2191 JOHNSON AVE
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 781-5500
Fax: (805) 781-5543

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  • Public Health & General Preventive Medic...

About AIDS PROGRAM

This page provides the complete NPI Profile along with additional information for Aids Program, a provider established in San Luis Obispo, California operating as a Preventive Medicine, focusing in public health & general preventive medicine . The healthcare provider is registered in the NPI registry with number 1346365780 assigned on March 2007. The practitioner's primary taxonomy code is 2083P0901X with license number G46138 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. Aids Program operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Aids Program. The authorized official of this NPI record is Dr. Gregory W Thomas M.d. (Health Officer)

NPI
1346365780
Provider Legal Name
SAN LUIS OBISPO PUBLIC HEALTH
Other Organization Name
AIDS PROGRAM
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2191 JOHNSON AVE SAN LUIS OBISPO, CA 93401
Location Phone
(805) 781-5500
Location Fax
(805) 781-5543
Mailing Address
2191 JOHNSON AVE SAN LUIS OBISPO, CA 93401
Mailing Phone
(805) 781-5500
Mailing Fax
(805) 781-5543
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preventive Medicine Public Health & General Preventive Medicine

Taxonomy Code
2083P0901X
Type
Allopathic & Osteopathic Physicians
License No.
G46138
License State
CA
Taxonomy Description
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GREGORY W THOMAS M.D.

Authorized Official Title
HEALTH OFFICER
Authorized Official Phone
(805) 781-5519

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
AYD000340MEDICAID (05)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346365780
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23866610716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 6 + 6 + 1 + 0 + 7 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1346365780 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992999502 BRENDA HARKER RN
Individual
Registered Nurse2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 788-2063
1598945750MS. MELISSA B. LOVETT-ADAIR RN, PHN
Individual
Registered Nurse (Case Management)2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 788-2046
1164603569 ALICE ROSE BODLAK RN
Individual
Registered Nurse (Case Management)2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-1744
1437330792 COLLEEN WIEST
Individual
Registered Nurse (Case Management)2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 788-2188
1366623621 NANCY GOLDSMITH
Individual
Registered Nurse (Case Management)2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 788-2065
1699957027MS. SAMMI K. POWELL RN
Individual
Registered Nurse (Case Management)2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 226-3216
1003094715DR. CRAIG M MCMILLAN M.D.
Individual
Preventive Medicine (Public Health & General Preventive Medicine)2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-5519
1588830863DR. PENNY ELLEN BORENSTEIN MD
Individual
Preventive Medicine (Public Health & General Preventive Medicine)2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-5519
1003077793MS. IRENE E. VEGA RN, PHN
Individual
Registered Nurse (Administrator)2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-5535
1225364235 AMY WILLIAMS
Individual
Registered Nurse (Case Management)2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 788-2064
1114255130MS. DAPHNE L. BOATRIGHT RN MED
Individual
Registered Nurse2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 788-2063
1144589516 THERESA MARIE ANSELMO RDH
Individual
Dental Hygienist2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-5503
1841632502MS. SYLVIE DUVET RN
Individual
Registered Nurse (Case Management)2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-2046
1558775817COUNTY OF SAN LUIS OBISPO
Organization
Case Management2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 237-3054
1174541908DR. NAVID FARDANESH D.D.S
Individual
Dentist (General Practice)2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-5503
1366895898 LAURA LEA BUCKERT BSRN, PHN
Individual
Registered Nurse (Case Management)2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 788-2188
1356893853 DAVID MICHELS
Individual
Counselor2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-5107
1134392608 CHRISTINE STOFFEL MULKERIN M.D.
Individual
Pediatrics2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 781-5522
1689158768 SANDRA SUE WALZBERG
Individual
Case Management2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 788-2063
1093280752 KRISTINA HORAK
Individual
Case Management2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
(805) 237-3056

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346365780, enumerated in the NPI registry as an "organization" on March 21, 2007

The provider is located at 2191 Johnson Ave San Luis Obispo, Ca 93401 and the phone number is (805) 781-5500

This medical organization specializes in Preventive Medicine with taxonomy code 2083P0901X with a focus in Public Health & General Preventive Medicine

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 21, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.