Individual provider Active NPI

Lant Jarvis Abernathy, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Luis Obispo, CA
National Provider Identifier
1275198368
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5955 Issued in CA
Practice address
862 Meinecke Ave Ste 204
San Luis Obispo, CA 93405-3703
Phone
(805) 540-5770
Fax
(888) 851-4755
NPI assigned
May 5, 2019
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5955 CA Primary

Addresses

Primary practice location

862 Meinecke Ave Ste 204
San Luis Obispo, CA 93405-3703

Mailing address

PO Box 759
Grover Beach, CA 93483-0759
Phone (805) 712-6867

Other practice location 1

1310 Las Tablas Rd Ste 205
Templeton, CA 93465-9747
Phone (805) 226-4060

Other identifiers 2

IdentifierTypeStateIssuer
E2424420OtherCADRIVERS LISCENSE
E5955OtherCACA MEDICAL LICENSE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230727001769 CA Practitioner - Podiatry 1850627431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nick L. Gunasayan, D.P.M., IncGroup PAC ID 7719989375, 2 clinicians

Practice addresses (Care Compare)

1310 Las Tablas Rd
Suite 205
Templeton, CA 93465-9747
Phone (888) 851-4755

210 Canal St
King City, CA 93930-3432
Phone (931) 385-7100

300 Canal St
King City, CA 93930-3431
Phone (831) 385-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue55
Removal of nail tissue13
Removal or shaving of skin growth28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5955CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Monterey County Memorial Hospital CurrentSince Mar 1, 2024 Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Mar 1, 2024 Accepting new patients
Nick L. Gunasayan, D.P.M., Inc. Foot & Ankle Surgery CurrentSince Sep 1, 2023 Accepting new patients
Nick L. Gunasayan, D.P.M., Inc Foot & Ankle Surgery CurrentSince Sep 1, 2023 Accepting new patients

Locations

210 Canal St
King City, CA 93930
Phone (931) 385-7100

300 Canal St
King City, CA 93930
Phone (831) 385-6000

862 Meinecke Ave
Ste 204
San Luis Obispo, CA 93405
Phone (805) 540-5770

1310 Las Tablas Rd
Ste 205
Templeton, CA 93465
Phone (805) 226-4060

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDEGCD

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1275198368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934830759",
            "telephone_number": "805-712-6867",
            "fax_number": "888-851-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 MEINECKE AVE STE 204",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934053703",
            "telephone_number": "805-540-5770",
            "fax_number": "888-851-4755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Las Tablas Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "CA",
            "postal_code": "934659747",
            "country_code": "US",
            "telephone_number": "805-226-4060",
            "fax_number": "888-851-4755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABERNATHY",
        "first_name": "LANT",
        "middle_name": "JARVIS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-05",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LISCENSE",
            "identifier": "E2424420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "E5955",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.