DR. KENNETH LESLIE BALDWIN (NPI# 1174549570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174549570 |
| Entity Type | Individual |
| Full Name | DR. KENNETH LESLIE BALDWIN |
| Credential | MD |
| Practice Address |
1304 Ella St Ste B-1 San Luis Obispo CA 93401-4166 |
| Practice Telephone | 8055468662 |
| Practice Fax Number | 8055468665 |
| Mailing Telephone | 8055468662 |
| Mailing Fax Number | 8055468665 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2011-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G34268 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA NUMBER | AB7759408 | 01 |
| CA | MEDICAL LICENSE NUMBER | G34268 | 01 |
| CA | TAXPAYER ID NUMBER | 77-0113784 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669554119 | Kenneth J. Baldwin | Dentist | 4046 Highland Dr, Suite #112, Salt Lake City, UT 84124-1673 | 2006-10-20 |
| 1346444320 | Kenneth Douglas Baldwin | Counselor | 10 Peterboro St, Suite 200, Detroit, MI 48201-2722 | 2007-06-13 |
| 1548380207 | Kenneth H Baldwin | Preventive Medicine | 4060 Sandshell Dr, Fort Worth, TX 76137-2422 | 2007-03-29 |
| Street Address |
1304 ELLA ST STE B-1 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-4166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073578126 | San Luis Obispo Surgery Center A California Limited Partnership | Clinic/Center | 1304 Ella St, Suite C, San Luis Obispo, CA 93401-4100 | 2006-04-20 |
| 1154870509 | Kenneth L Baldwin M D Inc | Orthopaedic Surgery | 1304 Ella St, Suite B-1, San Luis Obispo, CA 93401-4100 | 2016-09-27 |
| 1457741837 | Pacific Central Coast Health Centers | Clinic/Center | 1304 Ella St, Suite A, San Luis Obispo, CA 93401-4100 | 2015-01-23 |
| 1790013639 | Lauren M Stowe | Speech-Language Pathologist | 1304 Ella St, Ste B2, San Luis Obispo, CA 93401-4162 | 2009-12-04 |
| 1205037983 | Karen K Lin | Psychiatry & Neurology | 1304 Ella St, Suite B1, San Luis Obispo, CA 93401-4100 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306035902 | Larry D Herron Md Inc | Orthopaedic Surgery | 1304 Ella St Ste B, San Luis Obispo, CA 93401-4166 | 2007-10-18 |
| 1770654378 | Renee Lauritzen Md A Professional Corporation | Orthopaedic Surgery | 1500 Palm St, Suite A, San Luis Obispo, CA 93401-2998 | 2006-11-13 |
| 1871537779 | Central Coast Orthopedic Medical Group | Orthopaedic Surgery | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721 | 2006-06-15 |
| 1154870509 | Kenneth L Baldwin M D Inc | Orthopaedic Surgery | 1304 Ella St, Suite B-1, San Luis Obispo, CA 93401-4100 | 2016-09-27 |
| 1962872770 | Regenerative Orthopedics Institute | Orthopaedic Surgery | 1500 Palm St, Suite A, San Luis Obispo, CA 93401-2998 | 2015-10-06 |
| 1881936128 | Dimitri Delagrammaticas | Orthopaedic Surgery | 862 Meinecke Ave Ste 100, San Luis Obispo, CA 93405-3701 | 2013-03-25 |
| 1144512435 | Lee J Piatek, Md Inc | Orthopaedic Surgery | 1500 Palm St Ste A, San Luis Obispo, CA 93401-2998 | 2011-05-05 |
| 1003967423 | Ernest Burton Miller | Orthopaedic Surgery | 620 California Blvd, Suite Q, San Luis Obispo, CA 93401-2541 | 2007-01-13 |
| 1710051792 | Otto J Schueckler | Orthopaedic Surgery | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721 | 2006-11-20 |
| 1962576959 | Kenneth B Fryer | Orthopaedic Surgery | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-1721 | 2006-11-20 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.