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 is a Nephrology Physician 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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