Coastal Family Dermatology, PC
Dermatology practice in San Luis Obispo, CA
Registered providerLicense # listed (CA)Medicare-enrolled groupAccepts Medicare assignment
Public-record details
- Address
- 892 Aerovista Pl Ste 120, San Luis Obispo, CA 93401
- Phone
- (805) 544-5567
- Listed under
- Practices and organizations, Pediatric dermatology
- NPI
- 1174927073
- NPI status
- Active in the NPPES registry
- Provider type
- Organization (practice, clinic or company)
- Registered specialty (self-reported taxonomy)
- Dermatology, Pediatric Dermatology (207NP0225X)
- License number on NPI record
- A72400 (CA)
- Authorized official
- Christine Kilcline, MD, M.d./owner
- NPI first issued
- Oct 21, 2014
- Years since NPI first issued
- 12 years (since 2014)
- License state on NPI record
- CA
- NPI record last updated
- Jul 15, 2025
- Medicare group enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians as Coastal Family Dermatology PC
- Clinicians in the Medicare group (all specialties, CMS)
- 8
- Dermatology clinicians in the group at this ZIP (CMS)
- 2
- Group Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Other NPIs for this organization here
- 1295290567
- Other practice locations (NPPES)
- 1: Santa Maria, CA
- Other dermatology listings at this street address
- 2
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