DermatologistIndex

Coastal Family Dermatology, PC

Dermatology practice in San Luis Obispo, CA

Registered providerLicense # listed (CA)Medicare-enrolled groupAccepts Medicare assignment

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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

NPI 1174927073 is active in the federal NPPES registry (CMS) with Dermatology, Pediatric Dermatology as its self-reported primary taxonomy; license A72400 (CA) is listed on the record. CMS Doctors & Clinicians lists a Medicare-enrolled group with this name at this ZIP. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Dermatologist Index does not vet, employ, recommend or guarantee dermatology practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Dermatologist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. A registered specialty is not board certification. To check board certification, use the American Board of Dermatology's verification tool (or the American Osteopathic Board of Dermatology for DOs), and confirm the medical license with the state board.

View NPI 1174927073 in the official registry ↗

Dermatology clinicians and practices at this address

Other listings in this directory whose NPI record gives the same street address and ZIP. A shared address usually means a shared practice or building; it does not by itself show who works with whom.

Registered specialty is not board certification. Verify the license with the state medical board and board certification with the American Board of Dermatology or the American Osteopathic Board of Dermatology. Ask whether the practice takes your insurance or Medicare plan before you book.

Other dermatology listings in San Luis Obispo

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