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

Dr. Kenyon Tsao, MD

Individual provider Emergency Medicine Physician · NPI 1104152511

Dr. Kenyon Tsao, MD is an Emergency Medicine in San Luis Obispo, California. Qualified in 2008, 18 years ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California and Minnesota.

Years since qualifying
18
Licensed in
CA, MN
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1911 Johnson Ave
San Luis Obispo, CA 93401-4131
Phone: (805) 542-6621
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A125059 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 54298 (MN)

Record details

NPI number1104152511
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 20, 2009
Last updated in NPPESSeptember 15, 2017

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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