Active NPI
Gary L Cushing, M.D.
- Gastroenterology Physician
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A45253
- Practice address
- 1551 Bishop St
Suite 510
San Luis Obispo, CA 93401 - Phone
- (805) 549-7843
- Fax
- (805) 549-8692
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A45253 | CA | Primary |
| Specialist | 174400000X | A45253 | CA |
Addresses
Primary practice location
1551 Bishop St
Suite 510
San Luis Obispo, CA 93401
Mailing address
4488 Cross Creek Way
San Luis Obispo, CA 93401-8388
Phone (805) 801-5355
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100514000774 | CA | Practitioner - Gastroenterology | 1153396007 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A45253 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Current | Accepting new patients | |
| Central Coast Gastroenterology Medical Group | Gastroenterology | Current | Accepting new patients |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Past | Accepting new patients | |
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients |
Locations
35 Casa St
Ste 130
San Luis Obispo, CA 93405
Phone (805) 541-1422
1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600
1551 Bishop St
Ste 510
Sn Luis Obisp, CA 93401
Phone (805) 434-5530
1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- Templeton, CA
- NPI 1922145481
Gastroenterology
-
- Obstetrics & Gynecology Physician
- San Luis Obispo, CA
- NPI 1750716247
-
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1912264862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1962483545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4488 CROSS CREEK WAY",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934018388",
"telephone_number": "805-801-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 BISHOP ST",
"address_2": "SUITE 510",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "93401",
"telephone_number": "805-549-7843",
"fax_number": "805-549-8692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSHING",
"first_name": "GARY",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2018-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A45253",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A45253",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.