Individual provider Active NPI

Gemi Bertran, DR.

  • Nutrition Education Nutritionist
  • San Luis Obispo, CA
National Provider Identifier
1023636859
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
XLUFNSQT11K9 Issued in CA
Practice address
1244 Mill St
San Luis Obispo, CA 93401-2815
Phone
(805) 215-4385
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Nutrition Education Nutritionist 133NN1002X XLUFNSQT11K9 CA Primary
Nutrition Education Nutritionist 133NN1002X
School CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YS0200X
Behavior Technician 106S00000X

Addresses

Primary practice location

1244 Mill St
San Luis Obispo, CA 93401-2815

Mailing address

1244 Mill St
San Luis Obispo, CA 93401-2815
Phone (805) 215-4385

Other practice location 1

8445 Las Vegas Blvd S Apt 2058
Las Vegas, NV 89123-6621
Phone (805) 215-4385

Other identifiers 1

IdentifierTypeStateIssuer
83-3565189OtherCAI DON'T HAVE AN INSURER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
XLUFNSQT11K9CAMDNutrition Education Nutritionist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1023636859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 MILL ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012815",
            "telephone_number": "805-215-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 MILL ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012815",
            "telephone_number": "805-215-4385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8445 Las Vegas Blvd S Apt 2058",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891236621",
            "country_code": "US",
            "telephone_number": "805-215-4385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTRAN",
        "first_name": "GEMI",
        "name_prefix": "Dr.",
        "credential": "DR.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": "XLUFNSQT11K9",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I DON'T HAVE AN INSURER NUMBER",
            "identifier": "83-3565189",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.