| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1952951527 | RAMOS | JESSICA | 354 S HALCYON RD | ARROYO GRANDE | CA | 934203876 | ||
| 1033678818 | RESENDIZ | TANIA | 354 S HALCYON RD | ARROYO GRANDE | CA | 934203876 | ||
| 1194893321 | VICKERY | GREGORY | ALAN | 2178 JOHNSON AVE | SAN LUIS OBISPO | CA | 934014535 |