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

Specialty Medical Group Central California - Dept of San Luis Obispo

Organization Pediatrics Physician · NPI 1508182833

Specialty Medical Group Central California - Dept of San Luis Obispo is a Pediatrics Physician in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010

Practice location Address checks out

1010 Murray Ave
San Luis Obispo, CA 93405-1806
Phone: (805) 546-7766
Fax: (805) 546-7932
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (CA)

Record details

NPI number1508182833
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpecialty Medical Group Central California, Inc
Authorized official Devonna Kaji — President & Medical Director · (559) 353-5700
NPI enumeratedApril 12, 2010
Last updated in NPPESJune 28, 2013
Mailing address9300 Valley Childrens Pl, Madera, CA 93636-8761

Other providers in San Luis Obispo