Organization
SAN LUIS IMAGING MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED S VERNACCHIA M.D. (PRESIDENT)
(972) 730-6700
Entity
Organization
Contact information
Practice address
1100 MONTEREY ST # 200, SAN LUIS OBISPO, CA 93401-3102
(972) 730-6700
(805) 542-0584
Mailing address
1100 MONTEREY ST # 200, SAN LUIS OBISPO, CA 93401-3102
(972) 730-6700
(805) 542-0584
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
FNP27421
CA
Other
Enumeration date
05/22/2014
Last updated
05/26/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up