Healthcare Provider Details

I. General information

NPI: 1184654337
Provider Name (Legal Business Name): MARGARET KATHRYN BAUMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1368 MARSH ST
SAN LUIS OBISPO CA
93401-3316
US

IV. Provider business mailing address

1368 MARSH ST
SAN LUIS OBISPO CA
93401-3316
US

V. Phone/Fax

Practice location:
  • Phone: 805-540-7060
  • Fax: 805-540-7063
Mailing address:
  • Phone: 805-540-7060
  • Fax: 805-540-7063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA46131
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA46131
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: