Nick L. Gunasayan, D.P.M., Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4414 Issued in CA

Legal business name

NICK L. GUNASAYAN, D.P.M., INC.

Practice address

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

Phone

(805) 540-5770

Fax

(888) 851-4755

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Phuong Gunasayan

Title

Cfo

Phone

(805) 712-6867

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advance Foot & Ankle Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Nick L. Gunasayan, D.P.M., Inc

  • Durable Medical Equipment & Medical Supplies
  • San Luis Obispo, CA
  • NPI 1871768150

  7719989375

  Same PAC ID

Tax ID family

Nick L Gunasayan DPM Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nick L. Gunasayan, D.P.M., Inc

  • Durable Medical Equipment & Medical Supplies
  • San Luis Obispo, CA
  • NPI 1871768150
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lant Jarvis Abernathy, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Luis Obispo, CA
  • NPI 1275198368

  CA, Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Nick Laddhaphol Gunasayan, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • San Luis Obispo, CA
  • NPI 1417903337

  CA, Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1427132000",
    "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",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "CA",
            "postal_code": "934659737",
            "country_code": "US",
            "telephone_number": "805-226-4060",
            "fax_number": "888-851-4755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NICK L. GUNASAYAN, D.P.M., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "GUNASAYAN",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "805-712-6867"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "E4414",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Foot & Ankle Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tuan Dinh Nguyen, PHARMD
• Joanne Marie Nibbio, LMFT
• Jonathan Nibbio, LMFT
• Dana Nichols, LCSW
• Nick L. Gunasayan, D.P.M., Inc
• Bess Nicolds
• Welby Nielsen, D.O.
• Lisa C Niesen
• Niki Rarig ND Lac Inc
• Adam Daana Niku, MD

• All providers in San Luis Obispo, CA
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.