Individual provider Active NPI

Dustin Byron Cartagena, FNP-C

  • Family Nurse Practitioner
  • San Luis Obispo, CA
National Provider Identifier
1174315824
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95035140 Issued in CA
Practice address
1575 Bishop St
San Luis Obispo, CA 93401-4633
Phone
(805) 225-8156
Fax
(805) 243-0397
NPI assigned
May 20, 2025
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95035140 CA Primary

Addresses

Primary practice location

1575 Bishop St
San Luis Obispo, CA 93401-4633

Mailing address

200 S 13TH St Ste 208
Grover Beach, CA 93433-2263
Phone (805) 225-8156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250820000321 CA Practitioner - Nurse Practitioner 6204335870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Term Care Medical Group, IncGroup PAC ID 9032016068, 37 clinicians

Practice addresses (Care Compare)

1212 Farroll Ave
Arroyo Grande, CA 93420-3718
Phone (805) 489-8137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Term Care Medical Group, Inc CurrentSince Jun 1, 2025 Accepting new patients

Locations

1212 Farroll Ave
Arroyo Grande, CA 93420
Phone (805) 489-8137

685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 274-6444

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1174315824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 13TH ST STE 208",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332263",
            "telephone_number": "805-225-8156",
            "fax_number": "805-243-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BISHOP ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014633",
            "telephone_number": "805-225-8156",
            "fax_number": "805-243-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTAGENA",
        "first_name": "DUSTIN BYRON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-20",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95035140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.