Coastal Family Dermatology, PC
NPI 1174927073 · Pediatric Dermatology Physician · San Luis Obispo, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastal Family Dermatology, PC is a Pediatric Dermatology Physician organization in San Luis Obispo, CA (NPI 1174927073).
Provider details
- NPI number
- 1174927073
- Entity type
- Organization
- Primary specialty
- Pediatric Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christine Kilcline, M.d./Owner(805) 544-5567
- License
- A72400 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 525 Plaza Dr Ste 200Santa Maria, CA 93454-6954Phone: (805) 544-5567Fax: (805) 544-3265
Registry dates
- Enumerated
- 2014-10-21
- Last updated
- 2025-07-15
- Certified
- 2025-07-15
Frequently asked questions
- What is Coastal Family Dermatology, PC's NPI number?
- Coastal Family Dermatology, PC's National Provider Identifier (NPI) is 1174927073, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Family Dermatology, PC?
- Coastal Family Dermatology, PC is classified in the NPPES registry as Pediatric Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Coastal Family Dermatology, PC located?
- Coastal Family Dermatology, PC's practice location on file with NPPES is 892 Aerovista Pl Ste 120, San Luis Obispo, CA 93401-8054.
- What is Coastal Family Dermatology, PC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Family Dermatology, PC is (805) 544-5567.
- Does Coastal Family Dermatology, PC accept Medicare?
- Coastal Family Dermatology, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Coastal Family Dermatology, PC?
- The authorized official listed on Coastal Family Dermatology, PC's NPPES record is Christine Kilcline, M.d./Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Family Dermatology, PC's NPI active?
- Yes — Coastal Family Dermatology, PC's NPI (1174927073) is active in the NPPES registry as of the last update on 2025-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.