San Luis Dermatology, Inc.
NPI 1568431500 · 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)
San Luis Dermatology, Inc. is a Dermatology Physician organization in San Luis Obispo, CA (NPI 1568431500).
Provider details
- NPI number
- 1568431500
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Tolbert, Practice Manager(805) 541-2650
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
3 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
Other names (DBA / former)
- Former legal business name
- R Jeffrey Herten MD a Medical Corporation
- Former legal business name
- San Luis Dermatology & Laser Clinic Inc
Additional practice locations (2)
- 7544 Morro RdAtascadero, CA 93422-4404Phone: (805) 464-2755Fax: (805) 464-2756
- 1551 Bishop St Ste 410San Luis Obispo, CA 93401-4663Phone: (805) 541-4180Fax: (805) 541-2542
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2024-06-26
- Certified
- 2024-06-26
Frequently asked questions
- What is San Luis Dermatology, Inc.'s NPI number?
- San Luis Dermatology, Inc.'s National Provider Identifier (NPI) is 1568431500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Luis Dermatology, Inc.?
- San Luis Dermatology, Inc. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is San Luis Dermatology, Inc. located?
- San Luis Dermatology, Inc.'s practice location on file with NPPES is 15 Santa Rosa St, San Luis Obispo, CA 93405-1811.
- What is San Luis Dermatology, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for San Luis Dermatology, Inc. is (805) 541-2650.
- Does San Luis Dermatology, Inc. accept Medicare?
- San Luis Dermatology, Inc. 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 San Luis Dermatology, Inc.?
- The authorized official listed on San Luis Dermatology, Inc.'s NPPES record is Mary Tolbert, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Luis Dermatology, Inc.'s NPI active?
- Yes — San Luis Dermatology, Inc.'s NPI (1568431500) is active in the NPPES registry as of the last update on 2024-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.