| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1043819352 | ELTERMAN | DOUGLAS | GREGORY | 2180 JOHNSON AVE | SAN LUIS OBISPO | CA | 934014558 | |
| 1609181676 | HORTILLOSA | GERRY | B | 2180 JOHNSON AVE | SAN LUIS OBISPO | CA | 934014513 | |
| 1124298732 | NELSON | RUSSELL | GLENN | 2180 JOHNSON AVE | SAN LUIS OBISPO | CA | 934014513 | |
| 1326356064 | WISE | BETTINA | L | 2180 JOHNSON AVE | SAN LUIS OBISPO | CA | 934014513 |