GEMI BERTRAN (NPI# 1023636859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023636859 |
Entity Type | Individual |
Full Name | GEMI BERTRAN |
Practice Address |
668 Marsh St Ste 9 San Luis Obispo CA 93401-3931 |
Mailing Address |
1244 Mill St San Luis Obispo CA 93401-2815 |
Practice Telephone | 8055507232 |
Mailing Telephone | 8055507232 |
Enumeration Date | 2020-07-08 |
Last Update Date | 2020-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | I DON'T HAVE AN INSURER NUMBER | 83-3565189 | 01 |
Street Address |
668 MARSH ST STE 9 |
City | SAN LUIS OBISPO |
State | CA |
Zip Code | 93401-3931 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
Find all providers in zip 93401 |
Taxonomy Code | 133NN1002X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Nutritionist |
Specialization | Nutrition, Education |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760842561 | Malia Mattox | Nutritionist | 172 High St, San Luis Obispo, CA 93401-5011 | 2016-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902404155 | Victoria Zhukova Shemer | Nutritionist | 39 Calypso, Irvine, CA 92618-1519 | 2020-10-10 |
1306444658 | Califia Suntree | Nutritionist | 3812 Jo Ann Dr, Sacramento, CA 95821-3819 | 2020-10-09 |
1538772520 | Alicia Manley | Nutritionist | 198 Berk Pl, Richmond, CA 94804-4219 | 2020-08-28 |
1780295089 | Autumn Beam | Nutritionist | 1437 N Los Robles Ave, Pasadena, CA 91104-2140 | 2020-08-11 |
1689292815 | Jodi Ann Sutherland | Nutritionist | 54910, Pine Crest Avenue, Idyllwild, CA 92549-9254 | 2020-07-14 |
1407471410 | Joyce Peters | Nutritionist | 9465 Wilshire Blvd Ste 300, Beverly Hills, CA 90212-2624 | 2020-06-15 |
1114542883 | Kim Evans | Nutritionist | 101 Gregory Ln Ste 25, Pleasant Hill, CA 94523-4915 | 2020-06-09 |
1013539717 | Susan Astrid Blanc | Nutritionist | 2303 Camino Ramon # 208, San Ramon, CA 94583-1392 | 2020-05-15 |
1245869445 | Janel Anderson | Nutritionist | 10865 Whitehorse Rd # 5, Truckee, CA 96161-1428 | 2020-04-08 |
1154958130 | Lonnele Ball | Nutritionist | 69 Northampton Ave, Berkeley, CA 94707-1714 | 2020-03-26 |
Find all providers with the same taxonomy |
City | SAN LUIS OBISPO |
Zip Code | 93401 |
Please comment or provide details below to improve the information on GEMI BERTRAN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.