Active NPI
Gemi Bertran, DR.
- Nutrition Education Nutritionist
- San Luis Obispo, CA
National Provider Identifier
1023636859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- XLUFNSQT11K9
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Nutrition Education Nutritionist | 133NN1002X | XLUFNSQT11K9 | CA | Primary |
| Nutrition Education Nutritionist | 133NN1002X | |||
| School Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-3565189 | Other | CA | I 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
| License | State | Type | Specialty |
|---|---|---|---|
| XLUFNSQT11K9 | CA | MD | Nutrition 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.