Stephen Tidik, M.D.
NPI 1053306803 · Surgery Physician · San Luis Obispo, CA
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephen Tidik, M.D. is a Surgery Physician provider in San Luis Obispo, CA (NPI 1053306803).
Provider details
- NPI number
- 1053306803
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G57086 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-19
- Last updated
- 2008-06-17
Frequently asked questions
- What is Stephen Tidik's NPI number?
- Stephen Tidik's National Provider Identifier (NPI) is 1053306803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Tidik's specialty?
- Stephen Tidik is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Stephen Tidik located?
- Stephen Tidik's practice location on file with NPPES is 77 Casa St, San Luis Obispo, CA 93405-5803.
- What is Stephen Tidik's phone number?
- The practice phone number listed in the NPPES registry for Stephen Tidik is (805) 544-8993.
- Does Stephen Tidik accept Medicare?
- Stephen Tidik is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephen Tidik's NPI active?
- Yes — Stephen Tidik's NPI (1053306803) is active in the NPPES registry as of the last update on 2008-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.