Mariel Bernal
Rehabilitation Practitioner in San Luis Obispo, CA. Individual provider (NPI-1).
NPI number1174497481
StatusActive
Last updated in NPPESOct 24, 2025
Details
- NPI
- 1174497481
- Entity type
- Individual (NPI-1)
- Name
- Mariel Bernal
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2025
- Certification date
- Sep 30, 2025
- Last updated
- Oct 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | CA | Yes |
Practice location
1255 Kendall RdSan Luis Obispo, CA 93401-8750
Phone 805-781-3535
Mailing address
1255 Kendall RdSan Luis Obispo, CA 93401-8750
Phone 805-781-3535
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 112 Rehabilitation Practitioner providers in San Luis Obispo · All 4,062 providers in San Luis Obispo
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