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

Brandon Tyler Ginkel

Individual provider Case Manager/Care Coordinator · NPI 1043915432

Brandon Tyler Ginkel is a Case Manager/Care Coordinator in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
3

Practice location Address checks out

784 High St
San Luis Obispo, CA 93401-5243
Phone: (805) 540-6500
Fax: (805) 540-6501
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Peer Specialist Taxonomy 175T00000X · Licence MPSS-OPLQSC (CA)

Record details

NPI number1043915432
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2023
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

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