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

San Luis Imaging Medical Group, Inc

Organization Diagnostic Radiology Physician · NPI 1649682840

San Luis Imaging Medical Group, Inc is a Diagnostic Radiology Physician in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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

1100 Monterey St # 200
San Luis Obispo, CA 93401-3102
Phone: (972) 730-6700
Fax: (805) 542-0584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence FNP27421 (CA)

Record details

NPI number1649682840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fred Vernacchia — President · (972) 730-6700
NPI enumeratedMay 22, 2014
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address1100 Monterey St # 200, San Luis Obispo, CA 93401-3102

Other providers in San Luis Obispo