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

David Abraham Baltazar, DO

Individual provider Dermatology Physician · NPI 1972038461

David Abraham Baltazar, DO is a Dermatology in San Luis Obispo, California. Qualified in 2019, 7 years ago. Practices with Southwest Skin Specialists LLC, a 51-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

862 Aerovista Pl Ste 100
San Luis Obispo, CA 93401-8758
Phone: (805) 549-8023
Fax: (805) 549-8252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 20A25342 (CA)

Record details

NPI number1972038461
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 22, 2017
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southwest Skin Specialists Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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