Individual provider Active NPI

Janet Boyle Gaussoin, D.C.

  • Chiropractor
  • Nipomo, CA
National Provider Identifier
1861494767
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
20193 Issued in CA
Practice address
555 W. Tefft St.
Suite #2
Nipomo, CA 93444-7909
Phone
(805) 931-0300
Fax
(805) 931-0337
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 20193 CA Primary

Addresses

Primary practice location

555 W. Tefft St.
Suite #2
Nipomo, CA 93444-7909

Mailing address

555 W. Tefft St.
Suite #2
Nipomo, CA 93444-7909
Phone (805) 931-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040723001137 CA Practitioner - Chiropractic 0648250126 Practice locations: Nipomo, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

555 W Tefft St
Nipomo, CA 93444-7909
Phone (805) 931-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Janet B. Gaussoin Chiropractor Past Accepting new patients

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1861494767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W. TEFFT ST.",
            "address_2": "SUITE #2",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934447909",
            "telephone_number": "805-931-0300",
            "fax_number": "805-931-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W. TEFFT ST.",
            "address_2": "SUITE #2",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934447909",
            "telephone_number": "805-931-0300",
            "fax_number": "805-931-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUSSOIN",
        "first_name": "JANET",
        "middle_name": "BOYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nipomo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.