Individual provider Active NPI

Guy N Chirman, M.D.

  • Anesthesiology Physician
  • San Luis Obispo, CA
National Provider Identifier
1457347692
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G68519 Issued in CA
Practice address
1010 Murray St
San Luis Obispo, CA 93405-8800
Phone
(805) 928-1731
Fax
(805) 349-8160
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G68519 CA Primary

Addresses

Primary practice location

1010 Murray St
San Luis Obispo, CA 93405-8800

Mailing address

PO Box 6406
Santa Maria, CA 93456-6406
Phone (805) 928-1731

Other identifiers 1

IdentifierTypeStateIssuer
00G685190MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000397 CA Practitioner - Anesthesiology 7214104173 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G68519CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Anesthesiologists of the Central Coast Anesthesiology CurrentSince May 20, 2000 Accepting new patients

Locations

24757 Dept La Lockbox
Pasadena, CA 91185

1304 Ella St
Ste C
Sn Luis Obisp, CA 93401
Phone (805) 544-7214

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1457347692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6406",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934566406",
            "telephone_number": "805-928-1731",
            "fax_number": "805-349-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MURRAY ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934058800",
            "telephone_number": "805-928-1731",
            "fax_number": "805-349-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRMAN",
        "first_name": "GUY",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G68519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G685190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.