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

Dr. Stephen J Tidik, MD

Individual provider Specialist · NPI 1053306803

Dr. Stephen J Tidik, MD is a Specialist in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
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

77 Casa St Ste 103
San Luis Obispo, CA 93405-5803
Phone: (805) 544-8993
Fax: (805) 544-0120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence G57086 (CA)
Specialist Taxonomy 174400000X · Licence G57086 (CA)

Record details

NPI number1053306803
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 19, 2005
Last updated in NPPESJune 17, 2008

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